Pee Dee Family Practice Lake City | |
276 N Ron Mcnair Blvd Lake City SC 29560-2462 | |
(843) 374-5471 | |
(843) 374-5315 |
Full Name | Pee Dee Family Practice Lake City |
---|---|
Speciality | Family Medicine |
Location | 276 N Ron Mcnair Blvd, Lake City, 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 Lake City 276 N Ron Mcnair Blvd Lake City SC 29560-2462 Ph: (843) 374-5471 | Pee Dee Family Practice Lake City 276 N Ron Mcnair Blvd Lake City SC 29560-2462 Ph: (843) 374-5471 |
NPI Number | 1235330267 |
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Provider Enumeration Date | 05/29/2007 |
Last Update Date | 05/19/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235330267 | NPI | - | NPPES |
GP1912 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | GP1912 (South Carolina) | Primary |
Musc Health Primary Care - Ron Mcnair Blvd Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 276 N Ron Mcnair Blvd, Lake City, SC 29560 Phone: 843-792-1414 | |
Palmetto Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 Mercy St, Lake City, SC 29560 Phone: 843-374-9355 Fax: 843-374-9358 | |
East Main Medical Services, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 238 E Main St, Lake City, SC 29560 Phone: 843-374-7020 Fax: 843-374-7021 | |
Hopehealth School Base Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 652 N Matthews Rd, Lake City, SC 29560 Phone: 843-667-9414 Fax: 843-374-2713 | |
Carolinas Medical Alliance Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 101 John St, Lake City, SC 29560 Phone: 843-394-2031 | |
Live Oak Medical Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 148 Sauls St., Lake City, SC 29560 Phone: 843-687-0435 | |
Lake City Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 N Matthews Rd, Lake City, SC 29560 Phone: 843-374-8380 Fax: 843-374-5247 |