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7061 Norway Rd Neeses SC 29107-9021 | |
(803) 531-6900 | |
(803) 531-6907 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 7061 Norway Rd, Neeses, South Carolina |
Authorized Official Name and Position | Stan Wardlaw (CEO) |
Authorized Official Contact | 8035316900 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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7061 Norway Rd Neeses SC 29107-9021 Ph: (803) 531-6900 | 7061 Norway Rd Neeses SC 29107-9021 Ph: (803) 531-6900 |
NPI Number | 1669676201 |
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Provider Enumeration Date | 06/14/2007 |
Last Update Date | 01/15/2025 |
Identifier | Type | State | Issuer |
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1669676201 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |