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900 Bowman Rd Ste 103 Mount Pleasant SC 29464-3218 | |
(864) 501-0751 | |
Not Available |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 900 Bowman Rd Ste 103, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Jody Addair (CLINICAL OPERATIONS PROJECT) |
Authorized Official Contact | 3175560017 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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124 Allawood Ct Simpsonville SC 29681-6207 Ph: (864) 501-0751 | 900 Bowman Rd Ste 103 Mount Pleasant SC 29464-3218 Ph: (864) 501-0751 |
NPI Number | 1073279402 |
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Provider Enumeration Date | 11/10/2021 |
Last Update Date | 11/22/2024 |
Identifier | Type | State | Issuer |
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1073279402 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |