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625 S Georgetown Hwy Johnsonville SC 29555 | |
(843) 386-2350 | |
(843) 386-3791 |
Full Name | |
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Speciality | Family Medicine |
Location | 625 S Georgetown Hwy, Johnsonville, South Carolina |
Authorized Official Name and Position | Mary C Duke (DIRECTOR OF PFS) |
Authorized Official Contact | 8433746431 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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258 N Ron Mcnair Blvd Lake City SC 29560-2462 Ph: (843) 374-2036 | 625 S Georgetown Hwy Johnsonville SC 29555 Ph: (843) 386-2350 |
NPI Number | 1083815799 |
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Provider Enumeration Date | 05/30/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
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1083815799 | NPI | - | NPPES |
GP2834 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | GP2834 (South Carolina) | Primary |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 123 East Broadway Street, Johnsonville, SC 29555 Phone: 843-386-3573 | |
Health Care Partners Of South Carolina, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 237 S Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-386-3573 | |