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1768 Village Park Dr Ste A1 Orangeburg SC 29118-2457 | |
| (803) 539-2224 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 1768 Village Park Dr Ste A1, Orangeburg, South Carolina |
| Authorized Official Name and Position | Jami Dybik (VICE PRESIDENT) |
| Authorized Official Contact | 8438145177 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8379 W Sunset Rd Ste 210 Las Vegas NV 89113-2243 Ph: (843) 814-5177 | 1768 Village Park Dr Ste A1 Orangeburg SC 29118-2457 Ph: (803) 539-2224 |
| NPI Number | 1376225862 |
|---|---|
| Provider Enumeration Date | 08/03/2023 |
| Last Update Date | 12/17/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376225862 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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