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207 Holiday Rd Mc Cormick SC 29835-3430 | |
(864) 391-5011 | |
(864) 391-5012 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 207 Holiday Rd, Mc Cormick, South Carolina |
Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CEO) |
Authorized Official Contact | 8647254253 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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207 Holiday Rd Mc Cormick SC 29835-3430 Ph: (864) 391-5011 | 207 Holiday Rd Mc Cormick SC 29835-3430 Ph: (864) 391-5011 |
NPI Number | 1992370654 |
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Provider Enumeration Date | 05/25/2021 |
Last Update Date | 12/14/2021 |
Identifier | Type | State | Issuer |
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1992370654 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |