| Primecare Family Practice Llc | |
|
145 St James Ave Goose Creek SC 29445-2923 | |
| (843) 863-0777 | |
| (843) 824-6119 |
| Full Name | Primecare Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 145 St James Ave, Goose Creek, South Carolina |
| Authorized Official Name and Position | Adebola Edward Rojugbokan (PHYSICIAN) |
| Authorized Official Contact | 8438630777 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Primecare Family Practice Llc Po Box 160 Goose Creek SC 29445-0160 Ph: (843) 863-0777 | Primecare Family Practice Llc 145 St James Ave Goose Creek SC 29445-2923 Ph: (843) 863-0777 |
| NPI Number | 1073702957 |
|---|---|
| Provider Enumeration Date | 10/17/2007 |
| Last Update Date | 04/14/2008 |
| Medicare PECOS PAC ID | 1850364431 |
|---|---|
| Medicare Enrollment ID | O20040813000249 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073702957 | NPI | - | NPPES |
| GP3958 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 21082 (South Carolina) | Primary |
| Provider Name | Adebola E Rojugbokan |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922015692 PECOS PAC ID: 9931172517 Enrollment ID: I20040817000077 |
Patricia A Campbell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110a Springhall Dr, Goose Creek, SC 29445 Phone: 843-225-8304 Fax: 843-225-3549 | |
Roper St. Francis Physician Partners Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Spring Hall Dr, Suite B, Goose Creek, SC 29445 Phone: 843-266-3430 Fax: 843-266-1997 | |
Draw Station Goose Creek Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 S Alliance Dr, Ste 202-a, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 | |
Patricia A Campbell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 110a Springhall Dr, Goose Creek, SC 29445 Phone: 843-973-8503 Fax: 843-990-5068 | |
Goose Creek Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Springhall Dr, Suite B, Goose Creek, SC 29445 Phone: 843-266-3430 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7 South Alliance Drive, Ste 201a, Goose Creek, SC 29445 Phone: 843-553-4383 Fax: 843-553-4384 |