| Pee Dee Health Care Hartsville | |
|
214 S 2nd Street Hartsville SC 29550 | |
| (843) 383-4994 | |
| (843) 332-5473 |
| Full Name | Pee Dee Health Care Hartsville |
|---|---|
| Speciality | Family Medicine |
| Location | 214 S 2nd Street, Hartsville, South Carolina |
| Authorized Official Name and Position | Tony R Megna (CEO) |
| Authorized Official Contact | 8037991700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Health Care Hartsville 3400 West Avenue Columbia SC 29203 Ph: (803) 799-1700 | Pee Dee Health Care Hartsville 214 S 2nd Street Hartsville SC 29550 Ph: (843) 383-4994 |
| NPI Number | 1245337955 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 02/15/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245337955 | NPI | - | NPPES |
| RHC143 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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