Manning Primary Care Llc | |
517 Sunset Dr Manning SC 29102-2208 | |
(803) 435-9447 | |
(803) 435-9975 |
Full Name | Manning Primary Care Llc |
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Speciality | Family Medicine |
Location | 517 Sunset Dr, Manning, South Carolina |
Authorized Official Name and Position | Charles Ray Mitchell (OWNER) |
Authorized Official Contact | 8034359447 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Manning Primary Care Llc 517 Sunset Dr Manning SC 29102-2208 Ph: (803) 435-9447 | Manning Primary Care Llc 517 Sunset Dr Manning SC 29102-2208 Ph: (803) 435-9447 |
NPI Number | 1881799039 |
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Provider Enumeration Date | 09/13/2006 |
Last Update Date | 11/30/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881799039 | NPI | - | NPPES |
T71482 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 22923 (South Carolina) | Primary |
Cypress Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Professional Ct, Manning, SC 29102 Phone: 803-433-5220 Fax: 803-433-5221 | |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |