Palmetto Family Practice, Llc | |
115 N Sumter St Suite 315 Sumter SC 29150-4972 | |
(803) 934-0810 | |
(803) 934-0809 |
Full Name | Palmetto Family Practice, Llc |
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Speciality | Family Medicine |
Location | 115 N Sumter St, Sumter, South Carolina |
Authorized Official Name and Position | John Russell Fleming (PHYSICIAN PARTNER) |
Authorized Official Contact | 8039340810 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Palmetto Family Practice, Llc 115 N Sumter St Suite 315 Sumter SC 29150-4972 Ph: (803) 934-0810 | Palmetto Family Practice, Llc 115 N Sumter St Suite 315 Sumter SC 29150-4972 Ph: (803) 934-0810 |
NPI Number | 1558340786 |
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Provider Enumeration Date | 01/16/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558340786 | NPI | - | NPPES |
GP3552 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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