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16 Windermere Blvd Charleston SC 29407-7412 | |
(843) 766-9053 | |
(843) 766-8853 |
Full Name | |
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Speciality | Family Medicine |
Location | 16 Windermere Blvd, Charleston, South Carolina |
Authorized Official Name and Position | Robert R. Oliverio (VP/CEO RSFPP) |
Authorized Official Contact | 8437242903 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 751649 Charlotte NC 28275-1649 Ph: (888) 472-0043 | 16 Windermere Blvd Charleston SC 29407-7412 Ph: (843) 766-9053 |
NPI Number | 1073756276 |
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Provider Enumeration Date | 04/17/2009 |
Last Update Date | 03/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1073756276 | NPI | - | NPPES |
DP0704 | Other | SC | RAILROAD MEDICARE GROUP PTAN |
GP5133 | Medicaid | SC | |
062 | Other | SC | BCBS SC SUFFIX |
121 | Other | SC | BLUECHOICE SUFFIX |
614387331 | Other | SC | DOL |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |