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2001 E Blackstock Rd Suite 400 Roebuck SC 29376-2734 | |
(864) 587-0200 | |
(864) 587-0300 |
Full Name | |
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Speciality | Family Medicine |
Location | 2001 E Blackstock Rd, Roebuck, South Carolina |
Authorized Official Name and Position | Shannon C Webb (COOWNER) |
Authorized Official Contact | 8645870200 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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2001 E. Blackstock Rd Suite 400 Roebuck SC 29376-2734 Ph: (864) 587-0200 | 2001 E Blackstock Rd Suite 400 Roebuck SC 29376-2734 Ph: (864) 587-0200 |
NPI Number | 1760697536 |
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Provider Enumeration Date | 05/14/2007 |
Last Update Date | 03/13/2012 |
Identifier | Type | State | Issuer |
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1760697536 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |