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500 Thurgood Marshall Hwy Ste F Kingstree SC 29556-4143 | |
(843) 792-1414 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 500 Thurgood Marshall Hwy Ste F, Kingstree, South Carolina |
Authorized Official Name and Position | Karyn Rae (CHIEF PAYOR RELATIONS AND REIMBURSE) |
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 | 500 Thurgood Marshall Hwy Ste F Kingstree SC 29556-4143 Ph: (843) 792-1414 |
NPI Number | 1770219412 |
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Provider Enumeration Date | 07/26/2022 |
Last Update Date | 10/13/2022 |
Medicare PECOS PAC ID | 1557268950 |
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Medicare Enrollment ID | O20221215000953 |
Identifier | Type | State | Issuer |
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1770219412 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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