| Sc278 Medical Group Pa | |
|
1714 Tickton Hall Rd Ridgeland SC 29936-7719 | |
| (843) 726-2194 | |
| (843) 726-9423 |
| Full Name | Sc278 Medical Group Pa |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 1714 Tickton Hall Rd, Ridgeland, South Carolina |
| Authorized Official Name and Position | Scott Douglas Condie (PRESIDENT) |
| Authorized Official Contact | 8437575966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sc278 Medical Group Pa Po Box 3066 Bluffton SC 29910-3066 Ph: (843) 757-5966 | Sc278 Medical Group Pa 1714 Tickton Hall Rd Ridgeland SC 29936-7719 Ph: (843) 726-2194 |
| NPI Number | 1821158122 |
|---|---|
| Provider Enumeration Date | 12/10/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821158122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 15103 (South Carolina) | Primary |
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