Marlboro Family Practice And Urgent Care | |
957 Cheraw St Bennettsville SC 29512-2420 | |
(843) 454-0245 | |
(843) 479-7873 |
Full Name | Marlboro Family Practice And Urgent Care |
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Speciality | Clinic/Center |
Location | 957 Cheraw St, Bennettsville, South Carolina |
Authorized Official Name and Position | Lucien Stonge (CFO) |
Authorized Official Contact | 8643663310 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Marlboro Family Practice And Urgent Care Po Box 2257 Laurinburg NC 28353-2257 Ph: (843) 454-0245 | Marlboro Family Practice And Urgent Care 957 Cheraw St Bennettsville SC 29512-2420 Ph: (843) 454-0245 |
NPI Number | 1770577611 |
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Provider Enumeration Date | 09/07/2005 |
Last Update Date | 08/08/2022 |
Medicare PECOS PAC ID | 0648208504 |
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Medicare Enrollment ID | O20080304000638 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770577611 | NPI | - | NPPES |
GP2129 | Medicaid | SC | |
79011P9 | Medicaid | NC |
Provider Name | Shannon R Poole |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1457469009 PECOS PAC ID: 1153223284 Enrollment ID: I20040121000269 |
Provider Name | Donna Gail Cain |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1275646358 PECOS PAC ID: 4486630654 Enrollment ID: I20040628001012 |
Provider Name | Rufus Haynes Cain |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1467565515 PECOS PAC ID: 9739165903 Enrollment ID: I20040628001030 |
Provider Name | Sylvia Mckoy Watts |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1518070531 PECOS PAC ID: 1951374081 Enrollment ID: I20040817000944 |
Provider Name | Chi Dai Chen |
---|---|
Provider Type | Practitioner - General Surgery |
Provider Identifiers | NPI Number: 1033294285 PECOS PAC ID: 3577563832 Enrollment ID: I20070110000374 |
Provider Name | John Ray Nobles |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1912985219 PECOS PAC ID: 7911954854 Enrollment ID: I20080728000273 |
Provider Name | Gyetri S Mitchell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1023202124 PECOS PAC ID: 8921173162 Enrollment ID: I20080822000038 |
Provider Name | David Alexander Howell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1285638841 PECOS PAC ID: 1658353578 Enrollment ID: I20101111001255 |
Provider Name | Jadene Lowry |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1972701043 PECOS PAC ID: 9436339181 Enrollment ID: I20110211000784 |
Provider Name | Daniel Michael Strickland |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1992703607 PECOS PAC ID: 2466497672 Enrollment ID: I20130115000293 |
Provider Name | Amber Ann Wallace |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1104035526 PECOS PAC ID: 4183877285 Enrollment ID: I20130510000556 |
Provider Name | Kim Diane Lopes |
---|---|
Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1588683767 PECOS PAC ID: 1052330248 Enrollment ID: I20131001000637 |
Provider Name | Linda Kay Mitchell Frye |
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Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1720175144 PECOS PAC ID: 8224093588 Enrollment ID: I20151022002223 |
Provider Name | Matthew Thomas Manzo |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1376591636 PECOS PAC ID: 2264334770 Enrollment ID: I20161025001612 |
Provider Name | Matthew Brian Thompson |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1437571312 PECOS PAC ID: 1759512924 Enrollment ID: I20161031001312 |
Provider Name | Jerome Vincent Ponder |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1659332369 PECOS PAC ID: 4183694557 Enrollment ID: I20170228000741 |
Provider Name | Latonya Armstrong |
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Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
Provider Identifiers | NPI Number: 1962763425 PECOS PAC ID: 0840417234 Enrollment ID: I20170502000041 |
Provider Name | Ashleigh Johnson Freeman |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497917298 PECOS PAC ID: 8729247515 Enrollment ID: I20170817001958 |
Provider Name | Holly H Rowell |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1588173579 PECOS PAC ID: 0143588657 Enrollment ID: I20171211000591 |
Provider Name | Samuel Cummings |
---|---|
Provider Type | Practitioner - Obstetrics/gynecology |
Provider Identifiers | NPI Number: 1821101999 PECOS PAC ID: 6709053747 Enrollment ID: I20200511001819 |
Provider Name | Elizabeth Kleinfelder |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1134580442 PECOS PAC ID: 2961795497 Enrollment ID: I20200813002179 |
Provider Name | Brittany Stroud Branch |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1205486818 PECOS PAC ID: 7214361104 Enrollment ID: I20221202000942 |
Provider Name | Tekisha Rina Freeman |
---|---|
Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1861035289 PECOS PAC ID: 7214348143 Enrollment ID: I20230329002025 |
Marlboro Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 8, Bennettsville, SC 29512 Phone: 843-454-1100 Fax: 843-454-0110 | |
Highway To Hope Tri-county Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1035 Cheraw St, Bennettsville, SC 29512 Phone: 843-454-0442 | |
Marlboro Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512 Phone: 843-479-5890 Fax: 843-479-5893 | |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Cheraw St, Bennettsville, SC 29512 Phone: 843-479-2341 | |
Mcleod Primary Care Bennettsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512 Phone: 843-479-5890 Fax: 843-479-3524 | |
Mcleod Pediatrics Bennettsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1076 Marlboro Way Ste 3, Bennettsville, SC 29512 Phone: 843-479-0432 | |
Marlboro Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512 Phone: 843-479-5890 Fax: 843-479-5893 |