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20 E Hospital St Suite 2 Manning SC 29102-3153 | |
(843) 777-7098 | |
(843) 777-7102 |
Full Name | |
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Speciality | Internal Medicine - Geriatric Medicine |
Location | 20 E Hospital St, Manning, South Carolina |
Authorized Official Name and Position | Dane P Ficco (SENIOR VICE PRESIDENT) |
Authorized Official Contact | 8437777010 |
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) 777-7098 | 20 E Hospital St Suite 2 Manning SC 29102-3153 Ph: (843) 777-7098 |
NPI Number | 1699125104 |
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Provider Enumeration Date | 06/15/2016 |
Last Update Date | 06/15/2016 |
Identifier | Type | State | Issuer |
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1699125104 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207RG0300X | Internal Medicine - Geriatric Medicine | (South Carolina) | Primary |
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 | |