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1040 Marlboro Way Suite 8 Bennettsville SC 29512-2494 | |
(843) 454-1100 | |
(843) 454-0110 |
Full Name | |
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Speciality | Obstetrics & Gynecology |
Location | 1040 Marlboro Way, Bennettsville, South Carolina |
Authorized Official Name and Position | Debbie T Brewer (PROVIDER ENROLLMENT) |
Authorized Official Contact | 8007097345 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1040 Marlboro Way Suite 8 Bennettsville SC 29512-2494 Ph: (843) 454-1100 | 1040 Marlboro Way Suite 8 Bennettsville SC 29512-2494 Ph: (843) 454-1100 |
NPI Number | 1275692501 |
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Provider Enumeration Date | 12/06/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
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1275692501 | NPI | - | NPPES |
89016G5 | Medicaid | NC | |
57109350004 | Other | SC | BCBS |
GP4559 | Medicaid | SC | |
GP3861 | Medicaid | SC |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Cheraw St, Bennettsville, SC 29512 Phone: 843-479-2341 | |