Peach Tree Medical Center | |
155 Ridge Medical Plaza Suite B Egefield SC 29824-4535 | |
(803) 637-3630 | |
(803) 637-5348 |
Full Name | Peach Tree Medical Center |
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Speciality | Clinic/center - Rural Health |
Location | 155 Ridge Medical Plaza, Egefield, South Carolina |
Authorized Official Name and Position | Jennifer W Johnson (OFFICE MANAGER) |
Authorized Official Contact | 8036373630 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Peach Tree Medical Center 155 Ridge Medical Plaza Suite B Edgefield SC 29824-4535 Ph: (803) 637-3630 | Peach Tree Medical Center 155 Ridge Medical Plaza Suite B Egefield SC 29824-4535 Ph: (803) 637-3630 |
NPI Number | 1417110032 |
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Provider Enumeration Date | 07/03/2008 |
Last Update Date | 01/22/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417110032 | NPI | - | NPPES |
RHC548 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | HTL479 (South Carolina) | Primary |
282NC0060X | General Acute Care Hospital - Critical Access | HTL479 (South Carolina) | Secondary |