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276 N Ron Mcnair Blvd Lake City SC 29560-2462 | |
| (843) 394-1051 | |
| (843) 394-0277 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 276 N Ron Mcnair Blvd, Lake City, South Carolina |
| Authorized Official Name and Position | Jeff Murrell (REGIONAL PRACTICE MANAGER/AVP) |
| Authorized Official Contact | 8437777093 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 3239 Florence SC 29502-3239 Ph: (843) 394-1051 | 276 N Ron Mcnair Blvd Lake City SC 29560-2462 Ph: (843) 394-1051 |
| NPI Number | 1437253028 |
|---|---|
| Provider Enumeration Date | 09/12/2006 |
| Last Update Date | 03/27/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437253028 | NPI | - | NPPES |
| RHC163 | Medicaid | SC | |
| GP1782 | Medicaid | SC | |
| RHC097 | Medicaid | SC |
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