St. Andrews Surgical Assoc. Pc | |
1006 Old Chapin Rd Lexington SC 29072-9549 | |
(803) 359-7434 | |
Not Available |
Full Name | St. Andrews Surgical Assoc. Pc |
---|---|
Speciality | Family Medicine - Geriatric Medicine |
Location | 1006 Old Chapin Rd, Lexington, South Carolina |
Authorized Official Name and Position | Frederick Wayne Clemenz (OWNER) |
Authorized Official Contact | 8033597434 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
St. Andrews Surgical Assoc. Pc 1006 Old Chapin Rd Lexington SC 29072-9549 Ph: (803) 359-7434 | St. Andrews Surgical Assoc. Pc 1006 Old Chapin Rd Lexington SC 29072-9549 Ph: (803) 359-7434 |
NPI Number | 1265696439 |
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Provider Enumeration Date | 07/16/2008 |
Last Update Date | 07/16/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1265696439 | NPI | - | NPPES |
057556 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | MD5755 (South Carolina) | Primary |
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