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5229 Highway 221 Roebuck SC 29376-3305 | |
(864) 576-8193 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 5229 Highway 221, Roebuck, South Carolina |
Authorized Official Name and Position | Debbie T Brewer (DIRECTOR) |
Authorized Official Contact | 8778929813 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5229 Highway 221 Roebuck SC 29376-3305 Ph: (864) 576-8193 | 5229 Highway 221 Roebuck SC 29376-3305 Ph: (864) 576-8193 |
NPI Number | 1336344852 |
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Provider Enumeration Date | 06/15/2007 |
Last Update Date | 08/08/2008 |
Identifier | Type | State | Issuer |
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1336344852 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |