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202 Ridge St Saint George SC 29477-2446 | |
(843) 563-6000 | |
(843) 563-6015 |
Full Name | |
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Speciality | Family Medicine |
Location | 202 Ridge St, Saint George, South Carolina |
Authorized Official Name and Position | Thomas Brantley Arnau (PRESIDENT) |
Authorized Official Contact | 8425727727 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 530062 Atlanta GA 30353-0062 Ph: (843) 563-6000 | 202 Ridge St Saint George SC 29477-2446 Ph: (843) 563-6000 |
NPI Number | 1023428745 |
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Provider Enumeration Date | 05/02/2014 |
Last Update Date | 06/01/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023428745 | NPI | - | NPPES |
GP6503 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |