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501 Carnes Crossing Blvd Ste B Summerville SC 29486 | |
(843) 212-8080 | |
(843) 203-2299 |
Full Name | |
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Speciality | Internal Medicine |
Location | 501 Carnes Crossing Blvd Ste B, Summerville, 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 | 501 Carnes Crossing Blvd Ste B Summerville SC 29486 Ph: (843) 212-8080 |
NPI Number | 1194234211 |
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Provider Enumeration Date | 09/20/2017 |
Last Update Date | 03/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1194234211 | NPI | - | NPPES |
308 | Other | SC | BCBS SC AND BLUECHOICE SUFFIX |
GP8097 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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