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211 South Jones Rd Olanta SC 29114-9705 | |
(843) 396-9723 | |
Not Available |
Full Name | |
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Speciality | Clinic/Center |
Location | 211 South Jones Rd, Olanta, South Carolina |
Authorized Official Name and Position | Tony Megna (CEO) |
Authorized Official Contact | 8032543676 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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8906 Two Notch Rd Columbia SC 29223-6366 Ph: (803) 254-3676 | 211 South Jones Rd Olanta SC 29114-9705 Ph: (843) 396-9723 |
NPI Number | 1255641346 |
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Provider Enumeration Date | 10/07/2010 |
Last Update Date | 08/07/2024 |
Medicare PECOS PAC ID | 4688869696 |
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Medicare Enrollment ID | O20101118000886 |
Identifier | Type | State | Issuer |
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1255641346 | NPI | - | NPPES |
Woods Bay Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Baker St, Olanta, SC 29114 Phone: 843-616-3410 Fax: 866-707-4980 | |