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675 North Morgan Avenue Andrews SC 29510 | |
(843) 887-3274 | |
(843) 887-3817 |
Full Name | |
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Speciality | Clinic/Center |
Location | 675 North Morgan Avenue, Andrews, South Carolina |
Authorized Official Name and Position | Sandra D Gilliard (CEO) |
Authorized Official Contact | 8438873274 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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675 North Morgan Avenue Andrews SC 29510 Ph: (843) 887-3274 | 675 North Morgan Avenue Andrews SC 29510 Ph: (843) 887-3274 |
NPI Number | 1801219845 |
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Provider Enumeration Date | 01/28/2014 |
Last Update Date | 06/22/2022 |
Medicare PECOS PAC ID | 1658280334 |
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Medicare Enrollment ID | O20140418000377 |
Identifier | Type | State | Issuer |
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1801219845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |