| Mid-island Primary And Urgent Care, Llc | |
|
58 Shelter Cove Ln Ste L Hilton Head Island SC 29928-3571 | |
| (843) 681-2074 | |
| Not Available |
| Full Name | Mid-island Primary And Urgent Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 58 Shelter Cove Ln, Hilton Head Island, South Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mid-island Primary And Urgent Care, Llc Po Box 100208 Atlanta GA 30384-0208 Ph: (843) 681-2074 | Mid-island Primary And Urgent Care, Llc 58 Shelter Cove Ln Ste L Hilton Head Island SC 29928-3571 Ph: (843) 681-2074 |
| NPI Number | 1528274891 |
|---|---|
| Provider Enumeration Date | 05/15/2007 |
| Last Update Date | 06/08/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528274891 | NPI | - | NPPES |
| 8845 | Other | SC | MEDICARE PTAN |
| GP4951 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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