Mobile Medical Consultants | |
8761 Dorchester Rd Suite 230 North Charleston SC 29420-7322 | |
(843) 471-2273 | |
(843) 377-8180 |
Full Name | Mobile Medical Consultants |
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Speciality | Family Medicine |
Location | 8761 Dorchester Rd, North Charleston, South Carolina |
Authorized Official Name and Position | Sara Elizabeth Maynor-hardy (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 8432258320 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mobile Medical Consultants Po Box 13955 Charleston SC 29422-3955 Ph: (843) 225-8304 | Mobile Medical Consultants 8761 Dorchester Rd Suite 230 North Charleston SC 29420-7322 Ph: (843) 471-2273 |
NPI Number | 1376854406 |
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Provider Enumeration Date | 06/23/2010 |
Last Update Date | 10/21/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376854406 | NPI | - | NPPES |
GP6738 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
207QG0300X | Family Medicine - Geriatric Medicine | 27193 (South Carolina) | Secondary |
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