| |
966 Houston Northcutt Blvd Suite E Mount Pleasant SC 29464-3487 | |
(843) 471-0375 | |
(843) 388-4605 |
Full Name | |
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Speciality | Family Medicine - Sports Medicine |
Location | 966 Houston Northcutt Blvd, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Don Becker (CEO) |
Authorized Official Contact | 8437975050 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 12810 Belfast ME 04915-4019 Ph: (866) 528-1376 | 966 Houston Northcutt Blvd Suite E Mount Pleasant SC 29464-3487 Ph: (843) 471-0375 |
NPI Number | 1386178366 |
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Provider Enumeration Date | 04/17/2017 |
Last Update Date | 04/17/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1386178366 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Secondary |
207QS0010X | Family Medicine - Sports Medicine | (South Carolina) | Primary |
Sports Medicine & Orthopaedic Centers, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1230 Hospital Dr, Mount Pleasant, SC 29464 Phone: 843-473-4331 Fax: 843-473-4398 | |
Life Essentials Health Solutions Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 Fax: 843-606-2528 | |
Life Essentials Health Center Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1501 N Highway 17 Unit H, Mount Pleasant, SC 29464 Phone: 843-284-8410 | |