Rooted In Grace Primary Care, Llc | |
421 W Meeting St Ste B Lancaster SC 29720-2321 | |
(803) 288-2281 | |
Not Available |
Full Name | Rooted In Grace Primary Care, Llc |
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Speciality | Clinic/Center |
Location | 421 W Meeting St Ste B, Lancaster, South Carolina |
Authorized Official Name and Position | Maegan Barrs (CFNP) |
Authorized Official Contact | 8032882281 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Rooted In Grace Primary Care, Llc 3402 Crown Rd Lancaster SC 29720-7541 Ph: (803) 288-2281 | Rooted In Grace Primary Care, Llc 421 W Meeting St Ste B Lancaster SC 29720-2321 Ph: (803) 288-2281 |
NPI Number | 1831968338 |
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Provider Enumeration Date | 12/26/2023 |
Last Update Date | 01/04/2024 |
Medicare PECOS PAC ID | 9032558085 |
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Medicare Enrollment ID | O20240423003775 |
Identifier | Type | State | Issuer |
---|---|---|---|
1831968338 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Provider Name | Maegan Barrs |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1215303680 PECOS PAC ID: 5496065336 Enrollment ID: I20151105001598 |
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