Kershawhealth Primary Care At Camden | |
1111 Mill St Camden SC 29020-3763 | |
(803) 432-4311 | |
Not Available |
Full Name | Kershawhealth Primary Care At Camden |
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Speciality | Family Medicine |
Location | 1111 Mill St, Camden, South Carolina |
Authorized Official Name and Position | Michael L Bunch (EVP-COO & CFO) |
Authorized Official Contact | 8037132496 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kershawhealth Primary Care At Camden 1111 Mill St Camden SC 29020-3763 Ph: () - | Kershawhealth Primary Care At Camden 1111 Mill St Camden SC 29020-3763 Ph: (803) 432-4311 |
NPI Number | 1164834487 |
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Provider Enumeration Date | 05/21/2014 |
Last Update Date | 05/21/2014 |
Identifier | Type | State | Issuer |
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1164834487 | NPI | - | NPPES |
3410 | Other | SC | MEDICARE PTAN # |
400480 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | HTL 0101 (South Carolina) | Primary |
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