Mcleod Primary Care And Pediatrics Bennettsville | |
1076 Marlboro Way Ste 3 Bennettsville SC 29512-2495 | |
(843) 479-0432 | |
Not Available |
Full Name | Mcleod Primary Care And Pediatrics Bennettsville |
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Speciality | Clinic/Center |
Location | 1076 Marlboro Way Ste 3, Bennettsville, 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 |
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Mcleod Primary Care And Pediatrics Bennettsville 555 E Cheves St Florence SC 29506-2617 Ph: (843) 777-5562 | Mcleod Primary Care And Pediatrics Bennettsville 1076 Marlboro Way Ste 3 Bennettsville SC 29512-2495 Ph: (843) 479-0432 |
NPI Number | 1538707146 |
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Provider Enumeration Date | 12/13/2019 |
Last Update Date | 09/28/2020 |
Medicare PECOS PAC ID | 7911228259 |
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Medicare Enrollment ID | O20200330003776 |
Identifier | Type | State | Issuer |
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1538707146 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Marlboro Women's Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 8, Bennettsville, SC 29512 Phone: 843-454-1100 Fax: 843-454-0110 | |
Highway To Hope Tri-county Primary Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1035 Cheraw St, Bennettsville, SC 29512 Phone: 843-454-0442 | |
Marlboro Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512 Phone: 843-479-5890 Fax: 843-479-5893 | |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Cheraw St, Bennettsville, SC 29512 Phone: 843-479-2341 | |
Mcleod Primary Care Bennettsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512 Phone: 843-479-5890 Fax: 843-479-3524 | |
Mcleod Pediatrics Bennettsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1076 Marlboro Way Ste 3, Bennettsville, SC 29512 Phone: 843-479-0432 | |
Marlboro Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1040 Marlboro Way, Suite 1, Bennettsville, SC 29512 Phone: 843-479-5890 Fax: 843-479-5893 |