| Pageland Family Medicine | |
|
301 N Van Lingle Mungo Blvd. Pageland SC 29728-0278 | |
| (843) 672-6127 | |
| (843) 672-5748 |
| Full Name | Pageland Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 301 N Van Lingle Mungo Blvd., Pageland, South Carolina |
| Authorized Official Name and Position | Daniel L Wiens (SENIOR VICE PRESIDENT) |
| Authorized Official Contact | 7043550648 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pageland Family Medicine Po Box 601897 Charlotte NC 28260-0628 Ph: (843) 672-6127 | Pageland Family Medicine 301 N Van Lingle Mungo Blvd. Pageland SC 29728-0278 Ph: (843) 672-6127 |
| NPI Number | 1184799561 |
|---|---|
| Provider Enumeration Date | 11/21/2006 |
| Last Update Date | 08/19/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184799561 | NPI | - | NPPES |
| GP4568 | Medicaid | SC | |
| DE3288 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (South Carolina) | Secondary |
Pageland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 North Van Lingle Mungo Blvd., Pageland, SC 29728 Phone: 843-672-6127 Fax: 843-672-5748 | |
Family Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 905 N Pearl St, Pageland, SC 29728 Phone: 843-672-3100 Fax: 843-672-3102 | |
Sandhills Medical Foundation- Pageland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 N Pearl St, Pageland, SC 29728 Phone: 866-737-4031 | |
Pageland Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 N Van Lingle Mungo Blvd, Pageland, SC 29728 Phone: 843-672-6127 Fax: 843-672-5748 |