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211 S. Jones Rd Olanta SC 29114-9493 | |
(843) 396-9723 | |
(803) 254-3678 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 211 S. Jones Rd, Olanta, South Carolina |
Authorized Official Name and Position | Tony R Megna (CEO) |
Authorized Official Contact | 8037991700 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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211 S. Jones Rd Olanta SC 29114-9493 Ph: (843) 396-9723 | 211 S. Jones Rd Olanta SC 29114-9493 Ph: (843) 396-9723 |
NPI Number | 1730358219 |
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Provider Enumeration Date | 02/28/2008 |
Last Update Date | 02/28/2008 |
Identifier | Type | State | Issuer |
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1730358219 | NPI | - | NPPES |
42-3435 | Other | SC | MEDICARE PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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 |