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912 Inlet Square Dr Suite A Murrells Inlet SC 29576 | |
| (843) 651-4111 | |
| (843) 357-2887 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 912 Inlet Square Dr, Murrells Inlet, 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 |
|---|---|
Po Box 751649 Charlotte NC 28275-1649 Ph: (843) 789-1620 | 912 Inlet Square Dr Suite A Murrells Inlet SC 29576 Ph: (843) 651-4111 |
| NPI Number | 1750653325 |
|---|---|
| Provider Enumeration Date | 01/30/2012 |
| Last Update Date | 07/13/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750653325 | NPI | - | NPPES |
| GP5871 | Medicaid | SC | |
| 022 | Other | SC | BCBS SC AND BLUECHOICE SUFFIX |
| 614387356 | Other | SC | DOL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
| 332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Strand Regional Specialty Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4367 Riverwood Dr, Suite 120, Murrells Inlet, SC 29576 Phone: 843-357-8008 Fax: 843-357-3819 | |
Diabetes Center Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 11891 Plaza Drive, Murrells Inlet, SC 29576 Phone: 843-353-0288 Fax: 843-357-9770 | |
Coastal House Calls, Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 Jamestown Dr, Suite 203, Murrells Inlet, SC 29576 Phone: 843-631-4656 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 912 Inlet Square Dr, Murrells Inlet, SC 29576 Phone: 843-651-4111 | |
T J Reardon Md Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 671 Jamestown Dr, Ste 202a, Murrells Inlet, SC 29576 Phone: 864-237-1184 |