| Lake City Family Medicine Llc | |
|
901 N. Matthews Rd. Lake City SC 29560 | |
| (843) 374-8380 | |
| Not Available |
| Full Name | Lake City Family Medicine Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 901 N. Matthews Rd., Lake City, South Carolina |
| Authorized Official Name and Position | Morris Edward Brown (OWNER) |
| Authorized Official Contact | 8433748380 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lake City Family Medicine Llc 901 N. Matthews Rd. Lake City SC 29560 Ph: (843) 374-8380 | Lake City Family Medicine Llc 901 N. Matthews Rd. Lake City SC 29560 Ph: (843) 374-8380 |
| NPI Number | 1396969002 |
|---|---|
| Provider Enumeration Date | 04/12/2007 |
| Last Update Date | 03/16/2009 |
| Medicare PECOS PAC ID | 0547368441 |
|---|---|
| Medicare Enrollment ID | O20070530000463 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396969002 | NPI | - | NPPES |
| RHC175 | Other | SC | RURAL HEALTH CLINIC |
| GP4692 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (South Carolina) | Primary |
| 261QR1300X | Clinic/center - Rural Health | 17100 (South Carolina) | Secondary |
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Palmetto Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Mercy St, Lake City, SC 29560 Phone: 843-374-9355 Fax: 843-374-9358 | |
East Main Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 E Main St, Lake City, SC 29560 Phone: 843-374-7020 Fax: 843-374-7021 | |
Hopehealth School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Matthews Rd, Lake City, SC 29560 Phone: 843-667-9414 Fax: 843-374-2713 | |
Carolinas Medical Alliance Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 John St, Lake City, SC 29560 Phone: 843-394-2031 | |
Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St., Lake City, SC 29560 Phone: 843-687-0435 | |
Lake City Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8380 Fax: 843-374-5247 |