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345 Freshfields Dr Suite J101 Johns Island SC 29455 | |
(843) 768-4800 | |
(843) 606-8039 |
Full Name | |
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Speciality | Family Medicine |
Location | 345 Freshfields Dr, Johns Island, South Carolina |
Authorized Official Name and Position | Robert J. 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 | 345 Freshfields Dr Suite J101 Johns Island SC 29455 Ph: (843) 768-4800 |
NPI Number | 1912148693 |
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Provider Enumeration Date | 03/10/2009 |
Last Update Date | 03/17/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1912148693 | NPI | - | NPPES |
GP1400 | Medicaid | SC | |
DP0704 | Other | SC | RAILROAD MEDICARE GROUP PTAN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
South Carolina Integrative Health Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1807 Crowne Commons Way Ste F8, Johns Island, SC 29455 Phone: 843-806-9402 | |