Pageland Family Medicine | |
301 N Van Lingle Mungo Blvd Pageland SC 29728 | |
(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 5000 Airport Center Pkwy Ste A Charlotte NC 28208-5899 Ph: (704) 512-4116 | Pageland Family Medicine 301 N Van Lingle Mungo Blvd Pageland SC 29728 Ph: (843) 672-6127 |
NPI Number | 1992735989 |
---|---|
Provider Enumeration Date | 07/04/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1992735989 | NPI | - | NPPES |
GP1123 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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 | |
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 | |
Sandhills Medical Foundation- Pageland Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 126 N Pearl St, Pageland, SC 29728 Phone: 866-737-4031 |