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500 Squires Pt Suite B Duncan SC 29334-8867 | |
| (864) 433-8980 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 500 Squires Pt, Duncan, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 8642538080 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 277827 Atlanta GA 30384-7827 Ph: (864) 253-8080 | 500 Squires Pt Suite B Duncan SC 29334-8867 Ph: (864) 433-8980 |
| NPI Number | 1952546426 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952546426 | NPI | - | NPPES |
| GP4772 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Chronic Health Solutions Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Squires Pt Ste A, Duncan, SC 29334 Phone: 864-606-7764 | |
Regenesis Organization Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1663 E Main St, Duncan, SC 29334 Phone: 864-582-2411 Fax: 864-594-0040 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 500 Squire's Pointe, Duncan, SC 29334 Phone: 864-433-8980 Fax: 864-433-8982 | |
Proactive Md Sc,p.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 245 Parkway E, Duncan, SC 29334 Phone: 864-501-0751 | |