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2270 Ashley Crossing Dr Ste 150 Charleston SC 29414-5702 | |
| (843) 766-1936 | |
| (843) 766-1206 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2270 Ashley Crossing Dr Ste 150, Charleston, South Carolina |
| Authorized Official Name and Position | Elizabeth Maynor-hardy (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 8432258320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 13955 Charleston SC 29422-3955 Ph: (843) 225-8320 | 2270 Ashley Crossing Dr Ste 150 Charleston SC 29414-5702 Ph: (843) 766-1936 |
| NPI Number | 1417967092 |
|---|---|
| Provider Enumeration Date | 08/08/2006 |
| Last Update Date | 09/21/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417967092 | NPI | - | NPPES |
| B1015 | Other | SC | MEDCOST |
| 247743969 | Other | SC | BCBS |
| GP3158 | Medicaid | SC | |
| 194667 | Medicaid | SC | |
| 280508389 | Other | SC | BCBS |
| 257064675 | Other | SC | BCBS |
| 400560049 | Other | SC | BCBS |
| 247253076 | Other | SC | BCBS |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |