Full Name | |
---|---|
Speciality | Family Medicine |
Location | 498 North St, Bamberg, South Carolina |
Authorized Official Name and Position | Lisa M Goodlett (C.O.O.) |
Authorized Official Contact | 8033952462 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 1245 Orangeburg SC 29116-1245 Ph: (803) 395-4497 | 498 North St Bamberg SC 29003-1377 Ph: (803) 245-5144 |
NPI Number | 1366766222 |
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Provider Enumeration Date | 03/22/2010 |
Last Update Date | 01/30/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366766222 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 19072 (South Carolina) | Primary |
The Clinicians Clinic At The Veil Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3450 Main Hwy, Bamberg, SC 29003 Phone: 803-245-8330 Fax: 803-245-8391 | |