| |
517 Doctors Ct Chester SC 29706-8644 | |
(803) 581-2800 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 517 Doctors Ct, Chester, South Carolina |
Authorized Official Name and Position | Karyn Rae (CHIEF) |
Authorized Official Contact | 8438761344 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 23467 New York NY 10087-3467 Ph: (843) 792-6200 | 517 Doctors Ct Chester SC 29706-8644 Ph: (803) 581-2800 |
NPI Number | 1790394203 |
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Provider Enumeration Date | 07/30/2020 |
Last Update Date | 09/23/2022 |
Medicare PECOS PAC ID | 1557268950 |
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Medicare Enrollment ID | O20201215002810 |
Identifier | Type | State | Issuer |
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1790394203 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 524 Doctors Ct, Chester, SC 29706 Phone: 803-325-7744 | |
Chester Medical Group, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1 Medical Park Dr, Building 4, Suite A, Chester, SC 29706 Phone: 803-581-2001 | |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 130 Hudson St, Chester, SC 29706 Phone: 803-377-8111 | |
Abner Creek Family Medicine, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Medical Park Dr, Chester, SC 29706 Phone: 803-581-3163 Fax: 803-385-5388 | |