| Physician Management Services Of South Carolina, Llc | |
|
135 Botanical Cir Travelers Rest SC 29690-7112 | |
| (859) 514-5547 | |
| (859) 422-4907 |
| Full Name | Physician Management Services Of South Carolina, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 135 Botanical Cir, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Casey Deloach (PRESIDENT) |
| Authorized Official Contact | 8888298550 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Physician Management Services Of South Carolina, Llc 3113 Lawton Rd Ste 250 Orlando FL 32803-3517 Ph: (888) 298-5508 | Physician Management Services Of South Carolina, Llc 135 Botanical Cir Travelers Rest SC 29690-7112 Ph: (859) 514-5547 |
| NPI Number | 1699068676 |
|---|---|
| Provider Enumeration Date | 05/24/2011 |
| Last Update Date | 04/27/2021 |
| Medicare PECOS PAC ID | 1456681360 |
|---|---|
| Medicare Enrollment ID | O20190919000374 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699068676 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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