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3032 E Highway 76 Mullins SC 29574-7396 | |
(843) 292-7300 | |
(843) 292-7324 |
Full Name | |
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Speciality | Nurse Practitioner - Family |
Location | 3032 E Highway 76, Mullins, South Carolina |
Authorized Official Name and Position | Jeanne L Morehouse (DIR OF OPERATIONS) |
Authorized Official Contact | 8437777030 |
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) 777-7000 | 3032 E Highway 76 Mullins SC 29574-7396 Ph: (843) 292-7300 |
NPI Number | 1659343465 |
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Provider Enumeration Date | 02/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1659343465 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 | |
Palmetto Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1002 S Main St, Mullins, SC 29574 Phone: 843-245-0613 | |