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12890 County Line Rd Andrews SC 29510-6877 | |
(843) 887-3274 | |
(843) 887-3817 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 12890 County Line Rd, Andrews, South Carolina |
Authorized Official Name and Position | Sandra D Gilliard (CEO) |
Authorized Official Contact | 8438873274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 608 Mc Clellanville SC 29458-0608 Ph: (843) 887-3274 | 12890 County Line Rd Andrews SC 29510-6877 Ph: (843) 887-3274 |
NPI Number | 1942979463 |
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Provider Enumeration Date | 09/08/2021 |
Last Update Date | 06/22/2022 |
Identifier | Type | State | Issuer |
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1942979463 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |