Laurens Community Care Medical Home Referral Center | |
22725 Highway 76 E Clinton SC 29325-7527 | |
(864) 388-0301 | |
Not Available |
Full Name | Laurens Community Care Medical Home Referral Center |
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Speciality | Clinic/Center |
Location | 22725 Highway 76 E, Clinton, South Carolina |
Authorized Official Name and Position | Lisa Y Gilmer (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 8649418121 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Laurens Community Care Medical Home Referral Center 22725 Highway 76 E Clinton SC 29325-7527 Ph: (864) 388-0301 | Laurens Community Care Medical Home Referral Center 22725 Highway 76 E Clinton SC 29325-7527 Ph: (864) 388-0301 |
NPI Number | 1841548229 |
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Provider Enumeration Date | 08/16/2012 |
Last Update Date | 08/16/2012 |
Medicare PECOS PAC ID | 5496707804 |
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Medicare Enrollment ID | O20121019000295 |
Identifier | Type | State | Issuer |
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1841548229 | NPI | - | NPPES |
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