Mad Bird Dawg, Inc. | |
725 Cherry Rd Ste 140 Rock Hill SC 29732-3143 | |
(803) 818-2120 | |
(803) 818-2119 |
Full Name | Mad Bird Dawg, Inc. |
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Speciality | Clinic/center |
Location | 725 Cherry Rd Ste 140, Rock Hill, South Carolina |
Authorized Official Name and Position | Eric Fockler (OWNER) |
Authorized Official Contact | 7708665334 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mad Bird Dawg, Inc. 1411 Mary Ellen Dr Fort Mill SC 29708-7982 Ph: (770) 866-5334 | Mad Bird Dawg, Inc. 725 Cherry Rd Ste 140 Rock Hill SC 29732-3143 Ph: (803) 818-2120 |
NPI Number | 1184394611 |
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Provider Enumeration Date | 09/16/2021 |
Last Update Date | 09/16/2021 |
Identifier | Type | State | Issuer |
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1184394611 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |