Northwoods Internal Medicine | |
2179 Ashley Phosphate Rd Ste B N Charleston SC 29406-4180 | |
(843) 572-1946 | |
(843) 572-0855 |
Full Name | Northwoods Internal Medicine |
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Speciality | Internal Medicine |
Location | 2179 Ashley Phosphate Rd, N Charleston, South Carolina |
Authorized Official Name and Position | Lloyd Earl Hepburn (PRESIDENT) |
Authorized Official Contact | 8435721946 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Northwoods Internal Medicine 2179 Ashley Phosphate Rd Ste B N Charleston SC 29406-4180 Ph: (843) 572-1946 | Northwoods Internal Medicine 2179 Ashley Phosphate Rd Ste B N Charleston SC 29406-4180 Ph: (843) 572-1946 |
NPI Number | 1922279298 |
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Provider Enumeration Date | 03/14/2008 |
Last Update Date | 03/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922279298 | NPI | - | NPPES |
182796 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18279 (South Carolina) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2550 Elms Center Rd, N Charleston, SC 29406 Phone: 843-572-7727 Fax: 843-569-5872 |