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952 Houston Northcutt Blvd Suite 201 Mount Pleasant SC 29464-5659 | |
(843) 416-8882 | |
(843) 416-8929 |
Full Name | |
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Speciality | Clinic/center |
Location | 952 Houston Northcutt Blvd, Mount Pleasant, South Carolina |
Authorized Official Name and Position | William Vicory (PRESIDENT) |
Authorized Official Contact | 8434168882 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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952 Houston Northcutt Blvd Suite 201 Mount Pleasant SC 29464-5659 Ph: (843) 416-8882 | 952 Houston Northcutt Blvd Suite 201 Mount Pleasant SC 29464-5659 Ph: (843) 416-8882 |
NPI Number | 1073892873 |
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Provider Enumeration Date | 08/10/2011 |
Last Update Date | 10/21/2011 |
Identifier | Type | State | Issuer |
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1073892873 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 20010688 (South Carolina) | Primary |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |