| Mcleod Family Medicine-palmetto | |
|
22 Bozard St Manning SC 29102-2935 | |
| (803) 435-8828 | |
| Not Available |
| Full Name | Mcleod Family Medicine-palmetto |
|---|---|
| Speciality | Family Medicine |
| Location | 22 Bozard St, Manning, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SR VICE PRESIDENT AND CFO) |
| Authorized Official Contact | 8437772910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Family Medicine-palmetto 22 Bozard St Manning SC 29102-2935 Ph: (803) 435-8828 | Mcleod Family Medicine-palmetto 22 Bozard St Manning SC 29102-2935 Ph: (803) 435-8828 |
| NPI Number | 1497104525 |
|---|---|
| Provider Enumeration Date | 06/09/2016 |
| Last Update Date | 02/25/2019 |
| Medicare PECOS PAC ID | 0840582656 |
|---|---|
| Medicare Enrollment ID | O20160810001390 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497104525 | NPI | - | NPPES |
| 42-3460 | Other | SC | MEDICARE |
| RHC243 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Hopehealth Manning Pediatrics Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11 W Hospital St, Manning, SC 29102 Phone: 803-433-4321 Fax: 803-433-0075 | |
Mcleod Primary Care Clarendon Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 Bozard St, Manning, SC 29102 Phone: 803-435-8828 Fax: 803-435-2239 | |
Cypress Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Professional Ct, Manning, SC 29102 Phone: 803-433-5220 Fax: 803-433-5221 | |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |
The Clarendon Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 E Hospital St., Suite 100, Manning, SC 29102 Phone: 803-435-5212 Fax: 803-435-3389 | |
Manning Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 50 Hospital St, Suite 4, Manning, SC 29102 Phone: 803-435-5250 Fax: 803-435-5255 | |
Robert S Eagerton, Jr, Md Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 E Hospital St, Manning, SC 29102 Phone: 803-433-0439 Fax: 803-433-9840 |