Waccamaw Primary Care,llc | |
660 Singleton Ridge Suite A Conway SC 29526 | |
(843) 234-4362 | |
Not Available |
Full Name | Waccamaw Primary Care,llc |
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Speciality | Clinic/Center |
Location | 660 Singleton Ridge, Conway, South Carolina |
Authorized Official Name and Position | Winston Dowd Mciver (PHYSICIAN) |
Authorized Official Contact | 8432344362 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Waccamaw Primary Care,llc 660 Singleton Ridge Suite A Conway SC 29526 Ph: (843) 234-4362 | Waccamaw Primary Care,llc 660 Singleton Ridge Suite A Conway SC 29526 Ph: (843) 234-4362 |
NPI Number | 1538263272 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 9739084229 |
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Medicare Enrollment ID | O20031208000163 |
Identifier | Type | State | Issuer |
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1538263272 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QP2300X | Clinic/center - Primary Care | 22160 (South Carolina) | Primary |
Provider Name | Winston D Mciver |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1386642189 PECOS PAC ID: 1456256940 Enrollment ID: I20040220000343 |
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