Full Name | |
---|---|
Speciality | Clinic/center - Rural Health |
Location | 3204 Casey St, Loris, South Carolina |
Authorized Official Name and Position | Fred O Todd (SENIOR VICE PRESIDENT/CFO) |
Authorized Official Contact | 8437167520 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
3655 Mitchell St Box 690001 Loris SC 29569-9601 Ph: (843) 716-7270 | 3204 Casey St Loris SC 29569 Ph: (843) 716-7270 |
NPI Number | 1306922646 |
---|---|
Provider Enumeration Date | 10/30/2006 |
Last Update Date | 01/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306922646 | NPI | - | NPPES |
RHC041 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | HTL033 (South Carolina) | Primary |
Southern Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Better Days Health & Wellness, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3001 Hwy 9 Business E, Loris, SC 29569 Phone: 843-892-0007 | |