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701 Cashua Ferrry Rd Darlington SC 29532-8488 | |
(843) 398-8500 | |
(843) 398-7028 |
Full Name | |
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Speciality | Family Medicine |
Location | 701 Cashua Ferrry Rd, Darlington, South Carolina |
Authorized Official Name and Position | Charles M. Jordan (SR VP.) |
Authorized Official Contact | 8437777000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 3239 Florence SC 29502-3239 Ph: (843) 777-7132 | 701 Cashua Ferrry Rd Darlington SC 29532-8488 Ph: (843) 398-8500 |
NPI Number | 1932386554 |
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Provider Enumeration Date | 01/25/2008 |
Last Update Date | 06/09/2008 |
Identifier | Type | State | Issuer |
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1932386554 | NPI | - | NPPES |
GP1638 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
208600000X | Surgery | (* (Not Available)) | Secondary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Secondary |
Pee Dee Health Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 201 Cashua St, Darlington, SC 29532 Phone: 843-393-7452 Fax: 843-254-3678 | |
Hartsville Medical Enrichment Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24 Public Sq, Darlington, SC 29532 Phone: 843-968-8210 Fax: 843-393-2326 | |