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22 Bozard St Manning SC 29102-2935 | |
(803) 435-5257 | |
(803) 435-5259 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 22 Bozard St, Manning, South Carolina |
Authorized Official Name and Position | Dale Bryson (DIRECTOR COMMUNITY CLINICS) |
Authorized Official Contact | 8034355270 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 137 Manning SC 29102-3149 Ph: (803) 435-5257 | 22 Bozard St Manning SC 29102-2935 Ph: (803) 435-5257 |
NPI Number | 1366521874 |
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Provider Enumeration Date | 11/03/2006 |
Last Update Date | 01/31/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366521874 | NPI | - | NPPES |
RHC 161 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Cypress Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1036 Professional Ct, Manning, SC 29102 Phone: 803-433-5220 Fax: 803-433-5221 | |
Hopehealth Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2155 Paxville Hwy, Manning, SC 29102 Phone: 803-433-4321 | |