| Port Royal Medical Center Ii | |
|
2210-b Mossy Oaks Rd. Port Royal SC 29935-1046 | |
| (843) 986-0900 | |
| Not Available |
| Full Name | Port Royal Medical Center Ii |
|---|---|
| Speciality | Clinic/Center |
| Location | 2210-b Mossy Oaks Rd., Port Royal, South Carolina |
| Authorized Official Name and Position | Roland J Gardner (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8439877400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Port Royal Medical Center Ii 721 N Okatie Hwy Ridgeland SC 29936-8276 Ph: (874) 987-7400 | Port Royal Medical Center Ii 2210-b Mossy Oaks Rd. Port Royal SC 29935-1046 Ph: (843) 986-0900 |
| NPI Number | 1790138014 |
|---|---|
| Provider Enumeration Date | 07/21/2016 |
| Last Update Date | 05/13/2022 |
| Medicare PECOS PAC ID | 5597675728 |
|---|---|
| Medicare Enrollment ID | O20161228000779 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790138014 | NPI | - | NPPES |
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