| Medprimary Llc | |
|
103b Harth Pl Summerville SC 29485-8107 | |
| (843) 619-2990 | |
| Not Available |
| Full Name | Medprimary Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 103b Harth Pl, Summerville, South Carolina |
| Authorized Official Name and Position | Maria V Gibson (CEO) |
| Authorized Official Contact | 8436192990 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medprimary Llc 1327 Deep Water Dr Mt Pleasant SC 29464-7434 Ph: () - | Medprimary Llc 103b Harth Pl Summerville SC 29485-8107 Ph: (843) 619-2990 |
| NPI Number | 1932652856 |
|---|---|
| Provider Enumeration Date | 07/27/2016 |
| Last Update Date | 07/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932652856 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23088 (South Carolina) | Primary |
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