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9302 Medical Plaza Dr Suite C Charleston SC 29406-9142 | |
(843) 797-0416 | |
(843) 847-4477 |
Full Name | |
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Speciality | Clinic/center - Primary Care |
Location | 9302 Medical Plaza Dr, Charleston, South Carolina |
Authorized Official Name and Position | Kimberlie Denmark (DIRECTOR) |
Authorized Official Contact | 8437970416 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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9302 Medical Plaza Dr Suite C Charleston SC 29406-9142 Ph: (843) 797-0416 | 9302 Medical Plaza Dr Suite C Charleston SC 29406-9142 Ph: (843) 797-0416 |
NPI Number | 1740394071 |
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Provider Enumeration Date | 08/17/2006 |
Last Update Date | 03/24/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1740394071 | NPI | - | NPPES |
GP1196 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2097 Henry Tecklenburg Dr, Charleston, SC 29414 Phone: 843-572-7727 Fax: 843-569-5881 | |
Harold R Nicolette, Do, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 6 Carriage Ln, Suite B, Charleston, SC 29407 Phone: 843-766-4100 Fax: 843-571-4177 | |
Empowerme Medical Group, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2333 Ashley River Rd, Charleston, SC 29414 Phone: 877-367-9772 | |
Medical University Of South Carolina Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 60 Barre St, Charleston, SC 29401 Phone: 901-292-7077 |