| Edgefield Medical Clinic Pa | |
|
200 Ridge Medical Plaza Rd Edgefield SC 29824-4530 | |
| (803) 637-3146 | |
| (803) 637-3169 |
| Full Name | Edgefield Medical Clinic Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 200 Ridge Medical Plaza Rd, Edgefield, South Carolina |
| Authorized Official Name and Position | Mari M Reel (OFFICE MANAGER) |
| Authorized Official Contact | 8036373146 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgefield Medical Clinic Pa 200 Ridge Medical Plaza Rd Edgefield SC 29824-4530 Ph: (803) 637-3146 | Edgefield Medical Clinic Pa 200 Ridge Medical Plaza Rd Edgefield SC 29824-4530 Ph: (803) 637-3146 |
| NPI Number | 1649387077 |
|---|---|
| Provider Enumeration Date | 08/23/2006 |
| Last Update Date | 05/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1649387077 | NPI | - | NPPES |
| 207Q00000X | Other | SC | TAXONOMY |
| PA0267 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Ohio Valley Physicians Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 603 Augusta Rd, Edgefield, SC 29824 Phone: 803-637-9336 | |
Edgefield Medical Clinic, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 200 Ridge Medical Plaza Rd, Edgefield, SC 29824 Phone: 803-637-3146 Fax: 803-637-5211 |