| St Lukes Family Practice | |
|
1435 Stuart Engals Blvd Mt Pleasant SC 29464-3305 | |
| (843) 884-9796 | |
| (843) 856-5207 |
| Full Name | St Lukes Family Practice |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 1435 Stuart Engals Blvd, Mt Pleasant, South Carolina |
| Authorized Official Name and Position | Gina Pappas (ADMINISTRATOR) |
| Authorized Official Contact | 8438849796 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Lukes Family Practice 1435 Stuart Engals Blvd Mt Pleasant SC 29464-3305 Ph: (843) 884-9796 | St Lukes Family Practice 1435 Stuart Engals Blvd Mt Pleasant SC 29464-3305 Ph: (843) 884-9796 |
| NPI Number | 1932381308 |
|---|---|
| Provider Enumeration Date | 11/28/2007 |
| Last Update Date | 07/14/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932381308 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 15938 (South Carolina) | Primary |
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