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755 E Smith St Timmonsville SC 29161-9430 | |
(843) 346-3900 | |
(843) 346-7839 |
Full Name | |
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Speciality | Nurse Practitioner - Family |
Location | 755 E Smith St, Timmonsville, 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 | 755 E Smith St Timmonsville SC 29161-9430 Ph: (843) 346-3900 |
NPI Number | 1043282866 |
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Provider Enumeration Date | 02/06/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1043282866 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
363LF0000X | Nurse Practitioner - Family | (* (Not Available)) | Primary |