| Padgett Family Practice | |
|
526 North St Bamberg SC 29003-1319 | |
| (803) 245-2433 | |
| (803) 245-6274 |
| Full Name | Padgett Family Practice |
|---|---|
| Speciality | Clinic/Center |
| Location | 526 North St, Bamberg, South Carolina |
| Authorized Official Name and Position | Ashley Barnes (CFO) |
| Authorized Official Contact | 8032595762 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Padgett Family Practice 86 Wren St Barnwell SC 29812-1529 Ph: (803) 259-5762 | Padgett Family Practice 526 North St Bamberg SC 29003-1319 Ph: (803) 245-2433 |
| NPI Number | 1821518556 |
|---|---|
| Provider Enumeration Date | 06/23/2017 |
| Last Update Date | 11/15/2023 |
| Medicare PECOS PAC ID | 4284530940 |
|---|---|
| Medicare Enrollment ID | O20180713002403 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821518556 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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