| Laffitte And Warren Medical Center | |
|
623 Memorial Ave N Allendale SC 29810-2715 | |
| (803) 632-3311 | |
| (803) 632-3415 |
| Full Name | Laffitte And Warren Medical Center |
|---|---|
| Speciality | Family Medicine |
| Location | 623 Memorial Ave N, Allendale, South Carolina |
| Authorized Official Name and Position | Ken Hiatt (ADMINISTRATOR) |
| Authorized Official Contact | 8036323311 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Laffitte And Warren Medical Center Po Box 218 Fairfax SC 29827-0218 Ph: (803) 632-3311 | Laffitte And Warren Medical Center 623 Memorial Ave N Allendale SC 29810-2715 Ph: (803) 632-3311 |
| NPI Number | 1164529491 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164529491 | NPI | - | NPPES |
| 20044797 | Other | SC | SELECT HEALTH |
| 7962704 | Other | SC | AETNA |
| GP3474 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | HTL-041 (South Carolina) | Primary |
South Carolina Primary Care Specialists Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 571 Memorial Ave N, Allendale, SC 29810 Phone: 304-429-1088 | |
Laffitte & Warren Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 623 Memorial Ave N, Allendale, SC 29810 Phone: 803-584-2128 Fax: 803-584-2125 | |
The Palmetto Palace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Flat St E, Allendale, SC 29810 Phone: 843-532-3169 | |
The Palmetto Palace Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 217 Flat St E, Allendale, SC 29810 Phone: 843-532-3169 |