| Between the Lakesprimary Care | |
|
106 Ram Cat Aly Seneca SC 29678-3244 | |
| (864) 888-4445 | |
| (864) 888-4345 |
| Full Name | Between the Lakesprimary Care |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 106 Ram Cat Aly, Seneca, South Carolina |
| Authorized Official Name and Position | Matthew G Hedtke (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8648857989 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Between the Lakesprimary Care 301 Memorial Dr Seneca SC 29672-9491 Ph: (864) 885-7989 | Between the Lakesprimary Care 106 Ram Cat Aly Seneca SC 29678-3244 Ph: (864) 888-4445 |
| NPI Number | 1356527352 |
|---|---|
| Provider Enumeration Date | 01/21/2008 |
| Last Update Date | 01/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356527352 | NPI | - | NPPES |
| GP4697 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (South Carolina) | Primary |
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