| Sandhills Medical Foundation, Inc. | |
|
40 Baldwin Ave. Lugoff SC 29078-8966 | |
| (803) 408-3262 | |
| (803) 408-8895 |
| Full Name | Sandhills Medical Foundation, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 40 Baldwin Ave., Lugoff, South Carolina |
| Authorized Official Name and Position | Ernest James Stanley Wardlaw (CEO) |
| Authorized Official Contact | 8433358291 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sandhills Medical Foundation, Inc. Po Box 366 Mcbee SC 29101-7101 Ph: (843) 335-8291 | Sandhills Medical Foundation, Inc. 40 Baldwin Ave. Lugoff SC 29078-8966 Ph: (803) 408-3262 |
| NPI Number | 1487712923 |
|---|---|
| Provider Enumeration Date | 12/05/2006 |
| Last Update Date | 09/29/2023 |
| Medicare PECOS PAC ID | 8224949821 |
|---|---|
| Medicare Enrollment ID | O20080815000122 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487712923 | NPI | - | NPPES |
| FQC050 | Medicaid | SC |
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