Reagan Medical Consulting Llc | |
7107 Bowen Corner Ave Hanahan SC 29410-4813 | |
(864) 346-3957 | |
Not Available |
Full Name | Reagan Medical Consulting Llc |
---|---|
Speciality | Clinic/center - Primary Care |
Location | 7107 Bowen Corner Ave, Hanahan, South Carolina |
Authorized Official Name and Position | Khairiya C Bryant (CREDENTIALING CONSULTANT) |
Authorized Official Contact | 8503391359 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Reagan Medical Consulting Llc 1000 Clyburn Pl Aiken SC 29801-4193 Ph: (864) 346-3957 | Reagan Medical Consulting Llc 7107 Bowen Corner Ave Hanahan SC 29410-4813 Ph: (864) 346-3957 |
NPI Number | 1740860238 |
---|---|
Provider Enumeration Date | 04/09/2021 |
Last Update Date | 04/09/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740860238 | NPI | - | NPPES |
169882 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |