| Pee Dee Internal Medicine | |
|
514 S Dargan St Suite G Florence SC 29506-2552 | |
| (843) 667-8561 | |
| (843) 673-0206 |
| Full Name | Pee Dee Internal Medicine |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 514 S Dargan St, Florence, South Carolina |
| Authorized Official Name and Position | Jon H Docherty (OWNER) |
| Authorized Official Contact | 8436678561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Internal Medicine 514 S Dargan St Suite G Florence SC 29506-2552 Ph: (843) 667-8561 | Pee Dee Internal Medicine 514 S Dargan St Suite G Florence SC 29506-2552 Ph: (843) 667-8561 |
| NPI Number | 1013957521 |
|---|---|
| Provider Enumeration Date | 06/07/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013957521 | NPI | - | NPPES |
| 077552 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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