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382 Workman St Rock Hill SC 29730-6354 | |
(803) 325-7710 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Community Health |
Location | 382 Workman St, Rock Hill, South Carolina |
Authorized Official Name and Position | Ernest G. Brown (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8033257744 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 28 Rock Hill SC 29731-6028 Ph: (803) 325-7744 | 382 Workman St Rock Hill SC 29730-6354 Ph: (803) 325-7710 |
NPI Number | 1013299148 |
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Provider Enumeration Date | 09/14/2011 |
Last Update Date | 09/14/2011 |
Identifier | Type | State | Issuer |
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1013299148 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Community Medicine Foundation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 205 Piedmont St, Rock Hill, SC 29730 Phone: 803-325-7744 | |