Medical Associates Of Fort Mill | |
704 Gold Hill Rd Ste 115 Fort Mill SC 29715-8906 | |
(803) 802-5181 | |
Not Available |
Full Name | Medical Associates Of Fort Mill |
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Speciality | Family Medicine |
Location | 704 Gold Hill Rd, Fort Mill, South Carolina |
Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
Authorized Official Contact | 7043558675 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Medical Associates Of Fort Mill Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Medical Associates Of Fort Mill 704 Gold Hill Rd Ste 115 Fort Mill SC 29715-8906 Ph: (803) 802-5181 |
NPI Number | 1871817270 |
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Provider Enumeration Date | 03/15/2010 |
Last Update Date | 03/09/2023 |
Medicare PECOS PAC ID | 3274511514 |
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Medicare Enrollment ID | O20040712001453 |
Identifier | Type | State | Issuer |
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1871817270 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Karl Weber |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1407814296 PECOS PAC ID: 8022012921 Enrollment ID: I20060907000408 |
Provider Name | Olatokunbo Efunsami Soyode-etomi |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1326132804 PECOS PAC ID: 6406080332 Enrollment ID: I20131009000644 |
Provider Name | Olga Decker |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1538366711 PECOS PAC ID: 1456445436 Enrollment ID: I20180926000160 |
Provider Name | Kashiti G Long |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720498686 PECOS PAC ID: 2163762196 Enrollment ID: I20190328002447 |
I Med Carolinas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Stone Village Dr, Fort Mill, SC 29708 Phone: 803-543-2610 | |
Melby Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Wessington Manor Ln, Fort Mill, SC 29715 Phone: 757-377-7137 | |
Piedmont Express Care At Sutton Road, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715 Phone: 803-578-2800 Fax: 803-578-2810 | |
Edgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 Fort Mill Hwy, Suite A, Fort Mill, SC 29707 Phone: 803-396-7900 Fax: 803-396-2963 | |
Novant Health Fort Mill Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 Fax: 803-548-0122 | |
Legacy Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Ben Casey Dr Ste 106, Fort Mill, SC 29708 Phone: 803-547-6800 Fax: 803-547-6801 | |
Summit Medical Carolinas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 885 Gold Hill Rd # 253, Fort Mill, SC 29708 Phone: 720-644-9355 |