| Medical Plaza Family Medicine | |
|
800 E Cheves St Ste 310 Florence SC 29506-2652 | |
| (843) 679-7272 | |
| (843) 679-7215 |
| Full Name | Medical Plaza Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 800 E Cheves St, Florence, South Carolina |
| Authorized Official Name and Position | Kenneth D. Beasley (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 8437777010 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Plaza Family Medicine Po Box 3239 Florence SC 29502-3239 Ph: (843) 679-7272 | Medical Plaza Family Medicine 800 E Cheves St Ste 310 Florence SC 29506-2652 Ph: (843) 679-7272 |
| NPI Number | 1003889593 |
|---|---|
| Provider Enumeration Date | 02/07/2006 |
| Last Update Date | 06/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003889593 | NPI | - | NPPES |
| GP1646 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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