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148 Sauls St Ste 3 Lake City SC 29560-2677 | |
(843) 699-9183 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 148 Sauls St Ste 3, Lake City, 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 | 148 Sauls St Ste 3 Lake City SC 29560-2677 Ph: (843) 699-9183 |
NPI Number | 1780293290 |
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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 | O20201230002311 |
Identifier | Type | State | Issuer |
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1780293290 | NPI | - | NPPES |
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