| Providence Family Medicine Lexington | |
|
2351 Augusta Hwy Lexington SC 29072-2213 | |
| (803) 865-4780 | |
| (803) 865-4932 |
| Full Name | Providence Family Medicine Lexington |
|---|---|
| Speciality | Family Medicine |
| Location | 2351 Augusta Hwy, Lexington, South Carolina |
| Authorized Official Name and Position | Angela Haithcock (PROJECT MANAGER) |
| Authorized Official Contact | 8038654780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Providence Family Medicine Lexington 114 Gateway Corporate Blvd Suite 425 Columbia SC 29203-9740 Ph: (803) 865-4780 | Providence Family Medicine Lexington 2351 Augusta Hwy Lexington SC 29072-2213 Ph: (803) 865-4780 |
| NPI Number | 1578830279 |
|---|---|
| Provider Enumeration Date | 11/23/2011 |
| Last Update Date | 11/23/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578830279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
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