Full Name | |
---|---|
Speciality | Family Medicine |
Location | 22 Bozard Street, Manning, South Carolina |
Authorized Official Name and Position | John Shaughnessy (CFO) |
Authorized Official Contact | 8034353239 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
22 Bozard Street Manning SC 29102 Ph: (803) 435-8828 | 22 Bozard Street Manning SC 29102 Ph: (803) 435-8828 |
NPI Number | 1538188495 |
---|---|
Provider Enumeration Date | 07/19/2006 |
Last Update Date | 03/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1538188495 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (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 | |