| Woods Bay Family Care Llc | |
|
128 E Baker St Olanta SC 29114-9101 | |
| (843) 616-3410 | |
| (866) 707-4980 |
| Full Name | Woods Bay Family Care Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 128 E Baker St, Olanta, South Carolina |
| Authorized Official Name and Position | George Maxie Harrison (PRESIDENT) |
| Authorized Official Contact | 8436163410 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Woods Bay Family Care Llc 128 E Baker St Olanta SC 29114-9101 Ph: (843) 616-3410 | Woods Bay Family Care Llc 128 E Baker St Olanta SC 29114-9101 Ph: (843) 616-3410 |
| NPI Number | 1649623653 |
|---|---|
| Provider Enumeration Date | 07/14/2016 |
| Last Update Date | 11/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649623653 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Olanta Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 South Jones Rd, Olanta, SC 29114 Phone: 843-396-9723 Fax: 843-396-9735 | |
Olanta Family Care Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 211 South Jones Rd, Olanta, SC 29114 Phone: 843-396-9723 | |
Brh - Olanta Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 139 Main Street, Olanta, SC 29114 Phone: 803-433-1216 Fax: 803-433-6796 | |
Olanta Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 South Jones Road, Olanta, SC 29114 Phone: 843-396-9730 Fax: 843-396-9735 | |
Olanta Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S. Jones Rd, Olanta, SC 29114 Phone: 843-396-9723 Fax: 803-254-3678 |