| Marion Medical Group-latta | |
|
108a E Main St Latta SC 29565-1617 | |
| (843) 752-1234 | |
| (843) 752-1108 |
| Full Name | Marion Medical Group-latta |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 108a E Main St, Latta, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR) |
| Authorized Official Contact | 8778929813 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marion Medical Group-latta Po Box 689022 Franklin TN 37068-9022 Ph: (877) 309-5310 | Marion Medical Group-latta 108a E Main St Latta SC 29565-1617 Ph: (843) 752-1234 |
| NPI Number | 1154621829 |
|---|---|
| Provider Enumeration Date | 10/28/2010 |
| Last Update Date | 12/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154621829 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
Mcleod Family Medicine - Latta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108a East Main Street, Latta, SC 29565 Phone: 843-752-5111 Fax: 843-752-5100 | |
Caresouth Carolina Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 122 Latimer St, Latta, SC 29565 Phone: 843-857-0111 |