| Coulter Clinic | |
|
941 Summers Ave Orangeburg SC 29115-4931 | |
| (803) 534-0437 | |
| (803) 531-1464 |
| Full Name | Coulter Clinic |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 941 Summers Ave, Orangeburg, South Carolina |
| Authorized Official Name and Position | Franklin Carn Coulter (PROVIDER) |
| Authorized Official Contact | 8035340438 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Coulter Clinic 941 Summers Ave Orangeburg SC 29115-4931 Ph: (803) 534-0437 | Coulter Clinic 941 Summers Ave Orangeburg SC 29115-4931 Ph: (803) 534-0437 |
| NPI Number | 1609058254 |
|---|---|
| Provider Enumeration Date | 12/05/2007 |
| Last Update Date | 06/25/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609058254 | NPI | - | NPPES |
| 105825 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 10582 (South Carolina) | Primary |
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