| Primary Plus Family Medicine, Llc | |
|
5401 Netherby Lane Charleston SC 29420 | |
| (843) 767-7650 | |
| Not Available |
| Full Name | Primary Plus Family Medicine, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 5401 Netherby Lane, Charleston, South Carolina |
| Authorized Official Name and Position | Craig Koniver (MANAGER) |
| Authorized Official Contact | 8437677650 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Plus Family Medicine, Llc 5401 Netherby Lane Charleston SC 29420 Ph: (843) 767-7650 | Primary Plus Family Medicine, Llc 5401 Netherby Lane Charleston SC 29420 Ph: (843) 767-7650 |
| NPI Number | 1932116647 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932116647 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23726 (South Carolina) | Primary |
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