| K & M Care Pc | |
|
1056 Felton St Summerton SC 29148-7169 | |
| (843) 819-4021 | |
| Not Available |
| Full Name | K & M Care Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1056 Felton St, Summerton, South Carolina |
| Authorized Official Name and Position | Eric Kerley (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 8438194021 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| K & M Care Pc 1056 Felton St Summerton SC 29148-7169 Ph: (843) 819-4021 | K & M Care Pc 1056 Felton St Summerton SC 29148-7169 Ph: (843) 819-4021 |
| NPI Number | 1902577455 |
|---|---|
| Provider Enumeration Date | 09/24/2021 |
| Last Update Date | 03/15/2022 |
| Medicare PECOS PAC ID | 4284028143 |
|---|---|
| Medicare Enrollment ID | O20220218002114 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902577455 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric L Kerley |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1770533523 PECOS PAC ID: 4183653520 Enrollment ID: I20121113000482 |
| Provider Name | Miranda Kerley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912671843 PECOS PAC ID: 6002200961 Enrollment ID: I20220218002342 |
Summerton Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 Main Street, Summerton, SC 29148 Phone: 803-485-2351 Fax: 803-485-2219 | |
Dr. J Daulton Dubose Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1056 Felton Street, Summerton, SC 29148 Phone: 803-111-1111 | |
Dr. J. Daulton Dubose Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1056 Felton St, Summerton, SC 29148 Phone: 803-488-9355 Fax: 803-488-9358 |