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56 Us Highway 321 Byp N Winnsboro SC 29180-7100 | |
(803) 635-6099 | |
(803) 635-6343 |
Full Name | |
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Speciality | Clinic/Center |
Location | 56 Us Highway 321 Byp N, Winnsboro, South Carolina |
Authorized Official Name and Position | Polly H. Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 455-7000 | 56 Us Highway 321 Byp N Winnsboro SC 29180-7100 Ph: (803) 635-6099 |
NPI Number | 1376148502 |
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Provider Enumeration Date | 12/04/2020 |
Last Update Date | 12/28/2021 |
Medicare PECOS PAC ID | 6800708330 |
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Medicare Enrollment ID | O20220111001638 |
Identifier | Type | State | Issuer |
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1376148502 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 West Moultrie St., Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |