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2670 Mills Park Dr Rock Hill SC 29732-8599 | |
(803) 985-3939 | |
(803) 985-3929 |
Full Name | |
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Speciality | Family Medicine |
Location | 2670 Mills Park Dr, Rock Hill, South Carolina |
Authorized Official Name and Position | Dinesh S. Pai (VP OF OPERATIONS) |
Authorized Official Contact | 7043849104 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2670 Mills Park Dr Rock Hill SC 29732-8599 Ph: (803) 985-3939 | 2670 Mills Park Dr Rock Hill SC 29732-8599 Ph: (803) 985-3939 |
NPI Number | 1790743474 |
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Provider Enumeration Date | 05/03/2006 |
Last Update Date | 08/15/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790743474 | NPI | - | NPPES |
5903556 | Medicaid | NC | |
GP4413 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |