| Musc Physicians Pcp Ports | |
|
200 Ports Authority Dr Mount Pleasant SC 29464-7998 | |
| (843) 876-7997 | |
| Not Available |
| Full Name | Musc Physicians Pcp Ports |
|---|---|
| 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 |
|---|---|
| Musc Physicians Pcp Ports Po Box 602108 Charlotte NC 28260-2108 Ph: (843) 792-6200 | Musc Physicians Pcp Ports 200 Ports Authority Dr Mount Pleasant SC 29464-7998 Ph: (843) 876-7997 |
| NPI Number | 1669743357 |
|---|---|
| Provider Enumeration Date | 01/26/2012 |
| Last Update Date | 02/01/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669743357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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