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701 Cashua Ferry Rd Darlington SC 29532-8488 | |
(843) 398-8500 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 701 Cashua Ferry Rd, Darlington, South Carolina |
Authorized Official Name and Position | Samuel Fulton Ervin (SR. VP 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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701 Cashua Ferry Rd Darlington SC 29532-8488 Ph: (843) 398-8500 | 701 Cashua Ferry Rd Darlington SC 29532-8488 Ph: (843) 398-8500 |
NPI Number | 1003410903 |
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Provider Enumeration Date | 11/23/2020 |
Last Update Date | 02/17/2021 |
Medicare PECOS PAC ID | 7911228259 |
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Medicare Enrollment ID | O20210114002642 |
Identifier | Type | State | Issuer |
---|---|---|---|
1003410903 | NPI | - | NPPES |
42-3416 | Other | SC | MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 | |