| |
1003 Landfall Way Johns Island SC 29455-6323 | |
(843) 768-0888 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 1003 Landfall Way, Johns Island, South Carolina |
Authorized Official Name and Position | Karyn Rae (MANAGER) |
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 602108 Charlotte NC 28260-2108 Ph: (843) 768-0888 | 1003 Landfall Way Johns Island SC 29455-6323 Ph: (843) 768-0888 |
NPI Number | 1649202110 |
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Provider Enumeration Date | 07/07/2006 |
Last Update Date | 05/09/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1649202110 | NPI | - | NPPES |
GP3719 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
South Carolina Integrative Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Crowne Commons Way Ste F8, Johns Island, SC 29455 Phone: 843-806-9402 | |