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2845 E Highway 76 Suite 4 Mullins SC 29574-6037 | |
(843) 431-2720 | |
(843) 431-2726 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 2845 E Highway 76, Mullins, South Carolina |
Authorized Official Name and Position | Harold E Tucker (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8434312405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 1150 Marion SC 29571-1150 Ph: (843) 431-2720 | 2845 E Highway 76 Suite 4 Mullins SC 29574-6037 Ph: (843) 431-2720 |
NPI Number | 1265466585 |
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Provider Enumeration Date | 07/10/2006 |
Last Update Date | 07/22/2008 |
Identifier | Type | State | Issuer |
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1265466585 | NPI | - | NPPES |
RHC 538 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 | |
Palmetto Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1002 S Main St, Mullins, SC 29574 Phone: 843-245-0613 | |