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200 Ports Authority Dr Mount Pleasant SC 29464-7998 | |
(843) 876-7997 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 200 Ports Authority Dr, Mount Pleasant, 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) 792-6200 | 200 Ports Authority Dr Mount Pleasant SC 29464-7998 Ph: (843) 876-7997 |
NPI Number | 1669743357 |
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Provider Enumeration Date | 01/26/2012 |
Last Update Date | 02/01/2019 |
Identifier | Type | State | Issuer |
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1669743357 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |