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2125 Charlie Hall Blvd Suite 100 Charleston SC 29414-5879 | |
(843) 792-1414 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 2125 Charlie Hall Blvd, Charleston, South Carolina |
Authorized Official Name and Position | Karyn Rae (DIRECTOR) |
Authorized Official Contact | 8438761344 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 751461 Charlotte NC 28275-1461 Ph: (843) 792-6200 | 2125 Charlie Hall Blvd Suite 100 Charleston SC 29414-5879 Ph: (843) 792-1414 |
NPI Number | 1760413835 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 04/18/2012 |
Identifier | Type | State | Issuer |
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1760413835 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |