| Pee Dee Family Practice Johnsonville | |
|
625 S Georgetown Hwy Johnsonville SC 29555 | |
| (843) 386-2350 | |
| (843) 386-3791 |
| Full Name | Pee Dee Family Practice Johnsonville |
|---|---|
| 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 |
|---|---|
| Pee Dee Family Practice Johnsonville 258 N Ron Mcnair Blvd Lake City SC 29560-2462 Ph: (843) 374-2036 | Pee Dee Family Practice Johnsonville 625 S Georgetown Hwy Johnsonville SC 29555 Ph: (843) 386-2350 |
| NPI Number | 1083815799 |
|---|---|
| Provider Enumeration Date | 05/30/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083815799 | NPI | - | NPPES |
| GP2834 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | GP2834 (South Carolina) | Primary |
Campus Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 237 S. Georgetown Hwy, Johnsonville, SC 29555 Phone: 834-386-2609 Fax: 834-386-9058 | |
Mcleod Family Medicine-johnsonville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 355 S Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-380-2000 | |
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 | |
Mcleod Family Medicine - Johnsonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 355 S. Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-380-2000 Fax: 843-380-2014 | |
Pee Dee Family Practice - Johnsonville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 625 S Georgetown Hwy, Johnsonville, SC 29555 Phone: 843-386-3106 Fax: 843-386-3791 |