Winning Health Wellness Llc | |
966 Houston Northcutt Blvd Mount Pleasant SC 29464-3487 | |
(843) 471-0375 | |
Not Available |
Full Name | Winning Health Wellness Llc |
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Speciality | Family Medicine |
Location | 966 Houston Northcutt Blvd, Mount Pleasant, South Carolina |
Authorized Official Name and Position | Andrew J Mcmarlin (D.O) |
Authorized Official Contact | 8434710375 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Winning Health Wellness Llc 966 Houston Northcutt Blvd Mount Pleasant SC 29464-3487 Ph: (843) 471-0375 | Winning Health Wellness Llc 966 Houston Northcutt Blvd Mount Pleasant SC 29464-3487 Ph: (843) 471-0375 |
NPI Number | 1366869190 |
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Provider Enumeration Date | 03/18/2014 |
Last Update Date | 03/18/2014 |
Medicare PECOS PAC ID | 4082837117 |
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Medicare Enrollment ID | O20140519001168 |
Identifier | Type | State | Issuer |
---|---|---|---|
1366869190 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QS0010X | Family Medicine - Sports Medicine | (* (Not Available)) | Primary |
Provider Name | Jana K Upshaw |
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Provider Type | Practitioner - Sports Medicine |
Provider Identifiers | NPI Number: 1093823957 PECOS PAC ID: 6608910088 Enrollment ID: I20100223000732 |
Provider Name | Andrew J Mcmarlin |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1497719355 PECOS PAC ID: 1951307636 Enrollment ID: I20111227000195 |
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