| Palmetto Family Medicine And Senior Care, Llc | |
|
420 W Carolina Ave Hartsville SC 29550-4524 | |
| (843) 917-4977 | |
| (888) 854-0390 |
| Full Name | Palmetto Family Medicine And Senior Care, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 420 W Carolina Ave, Hartsville, South Carolina |
| Authorized Official Name and Position | John C Ropp (OWNER) |
| Authorized Official Contact | 8439174977 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Palmetto Family Medicine And Senior Care, Llc 420 W Carolina Ave Hartsville SC 29550-4524 Ph: (843) 917-4977 | Palmetto Family Medicine And Senior Care, Llc 420 W Carolina Ave Hartsville SC 29550-4524 Ph: (843) 917-4977 |
| NPI Number | 1194122598 |
|---|---|
| Provider Enumeration Date | 12/01/2014 |
| Last Update Date | 02/26/2018 |
| Medicare PECOS PAC ID | 2961589817 |
|---|---|
| Medicare Enrollment ID | O20080402000948 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194122598 | NPI | - | NPPES |
| 231449 | Medicaid | SC | |
| 231966 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23144 (South Carolina) | Primary |
| Provider Name | John C Ropp |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922037191 PECOS PAC ID: 5092792069 Enrollment ID: I20040707000947 |
| Provider Name | William H Long |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104858489 PECOS PAC ID: 6305823394 Enrollment ID: I20040707001098 |
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