| Rmc Primary Care Edisto Practice | |
|
1619 Carolina Ave Orangeburg SC 29115-4939 | |
| (803) 531-7474 | |
| (803) 531-7457 |
| Full Name | Rmc Primary Care Edisto Practice |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 1619 Carolina Ave, Orangeburg, South Carolina |
| Authorized Official Name and Position | Liza M Porterfield (C F O) |
| Authorized Official Contact | 8033954458 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Rmc Primary Care Edisto Practice Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4762 | Rmc Primary Care Edisto Practice 1619 Carolina Ave Orangeburg SC 29115-4939 Ph: (803) 531-7474 |
| NPI Number | 1639475429 |
|---|---|
| Provider Enumeration Date | 01/27/2011 |
| Last Update Date | 02/26/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639475429 | NPI | - | NPPES |
| 018 | Other | SC | BCBS |
| 018 | Other | SC | BLUECHOICE |
| 016 | Other | SC | TRICARE |
| GP5343 | Medicaid | SC | |
| CK8831 | Other | SC | RRMEDICARE |
| RHC217 | Medicaid | SC | |
| CN8991 | Other | SC | RRMEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
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Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1205 Hutto St, Orangeburg, SC 29118 Phone: 803-531-3911 Fax: 803-531-2666 | |
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Stefan Montgomery Md Family & Sports Medicine, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2850 Pelham Ct, Orangeburg, SC 29118 Phone: 803-531-8500 | |
Gross Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 970 Holly St, Orangeburg, SC 29115 Phone: 803-531-2722 Fax: 803-531-2743 | |
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