Lexington Family Practice White Knoll | |
5535 Platt Springs Rd Lexington SC 29073 | |
(803) 951-1880 | |
(803) 951-0384 |
Full Name | Lexington Family Practice White Knoll |
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Speciality | Family Medicine |
Location | 5535 Platt Springs Rd, Lexington, South Carolina |
Authorized Official Name and Position | Melinda P Sarvis (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 8037912000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Lexington Family Practice White Knoll Po Box 896239 Charlotte NC 28289-6239 Ph: (803) 951-1880 | Lexington Family Practice White Knoll 5535 Platt Springs Rd Lexington SC 29073 Ph: (803) 951-1880 |
NPI Number | 1124051891 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 09/17/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124051891 | NPI | - | NPPES |
GP2809 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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