| Sungate Primary Care | |
|
10 William Pope Drive Sungate Medical Center Bluffton SC 29909 | |
| (843) 705-1510 | |
| (843) 705-1511 |
| Full Name | Sungate Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 10 William Pope Drive, Bluffton, South Carolina |
| Authorized Official Name and Position | Kenneth Daniel Farr (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8438422020 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sungate Primary Care 10 William Pope Drive Sungate Medical Center Bluffton SC 29909 Ph: (843) 705-1510 | Sungate Primary Care 10 William Pope Drive Sungate Medical Center Bluffton SC 29909 Ph: (843) 705-1510 |
| NPI Number | 1366786485 |
|---|---|
| Provider Enumeration Date | 11/15/2012 |
| Last Update Date | 11/15/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366786485 | NPI | - | NPPES |
| CH3121 | Other | RAILROAD MEDICARE | |
| GP2666 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | DO 985 (South Carolina) | Primary |
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