| |
190 Knox Abbott Dr Suite 3-c Cayce SC 29033-4348 | |
(803) 865-4780 | |
(803) 865-4932 |
Full Name | |
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Speciality | Family Medicine |
Location | 190 Knox Abbott Dr, Cayce, South Carolina |
Authorized Official Name and Position | Angela Haithcock (CREDENTIALING COORDINATOR) |
Authorized Official Contact | 8038654780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740 Ph: (803) 865-4780 | 190 Knox Abbott Dr Suite 3-c Cayce SC 29033-4348 Ph: (803) 865-4780 |
NPI Number | 1639463771 |
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Provider Enumeration Date | 06/07/2011 |
Last Update Date | 06/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1639463771 | NPI | - | NPPES |
DA2264 | Other | SC | RAILROAD MEDICARE GROUP # |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
Lexington Health Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1111 Knox Abbott Dr, Cayce, SC 29033 Phone: 803-791-2000 | |
Turning Point Solutions, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 440 Knox Abbott Dr Ste 430, Cayce, SC 29033 Phone: 803-622-5633 | |
Nova Physician Group Pllc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 905 State St, Cayce, SC 29033 Phone: 803-832-4383 Fax: 803-306-6684 |