Main Street Medical Associates Llc | |
618 N Main St Marion SC 29571-3034 | |
(843) 433-8010 | |
(843) 433-8692 |
Full Name | Main Street Medical Associates Llc |
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Speciality | Family Medicine |
Location | 618 N Main St, Marion, South Carolina |
Authorized Official Name and Position | Angela Hucks Cooper (OWNER) |
Authorized Official Contact | 8434338010 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Main Street Medical Associates Llc Po Box 1440 Marion SC 29571-1440 Ph: () - | Main Street Medical Associates Llc 618 N Main St Marion SC 29571-3034 Ph: (843) 433-8010 |
NPI Number | 1144822735 |
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Provider Enumeration Date | 11/10/2020 |
Last Update Date | 09/06/2024 |
Medicare PECOS PAC ID | 8123430857 |
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Medicare Enrollment ID | O20201222000186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1144822735 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Bruce Ellis Burner |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1891779807 PECOS PAC ID: 2567481187 Enrollment ID: I20051114000306 |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1205 N Main St, Marion, SC 29571 Phone: 843-423-0760 | |
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Marion Medical Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 N Main St, Marion, SC 29571 Phone: 843-423-0760 Fax: 843-423-8138 | |
Fowler Rural Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2236 E Highway 76, Marion, SC 29571 Phone: 843-423-4044 | |
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Cmc Primary Care Marion Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1211 North Main Street, Marion, SC 29571 Phone: 843-765-2985 Fax: 843-765-2986 |