| Kershawhealth Primary Care At Lugoff | |
|
116 Standard Warehouse Rd Lugoff SC 29078-9670 | |
| (803) 438-6023 | |
| (803) 438-3671 |
| Full Name | Kershawhealth Primary Care At Lugoff |
|---|---|
| Speciality | Family Medicine |
| Location | 116 Standard Warehouse Rd, Lugoff, South Carolina |
| Authorized Official Name and Position | Donnie J Weeks (PRESIDENT/CEO) |
| Authorized Official Contact | 8037136227 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kershawhealth Primary Care At Lugoff 116 Standard Warehouse Rd Lugoff SC 29078-9670 Ph: (803) 438-6023 | Kershawhealth Primary Care At Lugoff 116 Standard Warehouse Rd Lugoff SC 29078-9670 Ph: (803) 438-6023 |
| NPI Number | 1912288093 |
|---|---|
| Provider Enumeration Date | 09/02/2011 |
| Last Update Date | 09/02/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912288093 | NPI | - | NPPES |
| 400480 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Alice J. Brooks, Md, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 116 Standard Warehouse Rd, Lugoff, SC 29078 Phone: 803-438-6023 Fax: 803-438-3671 | |
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Carolina Clinics Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 710 Dewitt Dr, Lugoff, SC 29078 Phone: 803-233-1730 Fax: 704-296-2743 | |
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