| Doc at the Door | |
|
3601 Ladson Rd Suite 101 Ladson SC 29456-4304 | |
| (843) 821-0733 | |
| (843) 821-0925 |
| Full Name | Doc at the Door |
|---|---|
| Speciality | Family Medicine |
| Location | 3601 Ladson Rd, Ladson, South Carolina |
| Authorized Official Name and Position | Wayne O. Winney (VICE PRESIDENT) |
| Authorized Official Contact | 8438474054 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Doc at the Door 3601 Ladson Rd Suite 101 Ladson SC 29456-4304 Ph: (843) 821-0733 | Doc at the Door 3601 Ladson Rd Suite 101 Ladson SC 29456-4304 Ph: (843) 821-0733 |
| NPI Number | 1942522719 |
|---|---|
| Provider Enumeration Date | 02/22/2010 |
| Last Update Date | 05/05/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942522719 | NPI | - | NPPES |
| 1942522719 | Medicaid | SC | |
| GP5390 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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