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96 Wisteria Rd Goose Creek SC 29445-3495 | |
(304) 429-1088 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 96 Wisteria Rd, Goose Creek, South Carolina |
Authorized Official Name and Position | Brandi Hatfield (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3044291088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 390 Huntington WV 25708-0390 Ph: () - | 96 Wisteria Rd Goose Creek SC 29445-3495 Ph: (304) 429-1088 |
NPI Number | 1972098960 |
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Provider Enumeration Date | 06/22/2018 |
Last Update Date | 12/26/2018 |
Identifier | Type | State | Issuer |
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1972098960 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Primecare Family Practice Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 145 St James Ave, Goose Creek, SC 29445 Phone: 843-863-0777 Fax: 843-824-6119 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 South Alliance Drive, Ste 201a, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 |