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1013 Kincaid Bridge Rd Winnsboro SC 29180-7113 | |
(803) 402-0558 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1013 Kincaid Bridge Rd, Winnsboro, South Carolina |
Authorized Official Name and Position | Tabitha J. Williams (OWNER) |
Authorized Official Contact | 8037121103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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27 Spinnaker Dr Winnsboro SC 29180-7210 Ph: (803) 402-0558 | 1013 Kincaid Bridge Rd Winnsboro SC 29180-7113 Ph: (803) 402-0558 |
NPI Number | 1245718444 |
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Provider Enumeration Date | 07/31/2018 |
Last Update Date | 01/07/2020 |
Identifier | Type | State | Issuer |
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1245718444 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (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 | |