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103 South Main Street Bethune SC 29009 | |
(843) 334-6557 | |
(843) 334-6583 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 103 South Main Street, Bethune, South Carolina |
Authorized Official Name and Position | Davis W Turner (VICE PRESIDENT) |
Authorized Official Contact | 6158449800 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1315 Roberts St Camden SC 29020-3737 Ph: (803) 432-4311 | 103 South Main Street Bethune SC 29009 Ph: (843) 334-6557 |
NPI Number | 1679564702 |
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Provider Enumeration Date | 10/28/2005 |
Last Update Date | 10/14/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679564702 | NPI | - | NPPES |
RHC535 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | HTL-101 (South Carolina) | Primary |