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101 S Ravenel St Suite 220 Florence SC 29506-2618 | |
(843) 777-7341 | |
(843) 777-7345 |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 101 S Ravenel St, Florence, South Carolina |
Authorized Official Name and Position | Cynthia Parent (AVP/REGIONAL PRACTICE MANAGER) |
Authorized Official Contact | 8437777143 |
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) 777-7341 | 101 S Ravenel St Suite 220 Florence SC 29506-2618 Ph: (843) 777-7341 |
NPI Number | 1184943508 |
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Provider Enumeration Date | 05/25/2010 |
Last Update Date | 12/08/2014 |
Identifier | Type | State | Issuer |
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1184943508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | 28803 (South Carolina) | Primary |
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