| Family Life Medicine | |
|
7209 Hwy 90 Suite C Longs SC 29568 | |
| (843) 390-1800 | |
| (843) 390-1817 |
| Full Name | Family Life Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 7209 Hwy 90, Longs, South Carolina |
| Authorized Official Name and Position | Carolyn Ward (LORIS PHYSICIANS CREDENTIALING) |
| Authorized Official Contact | 9198806406 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Life Medicine 7209 Hwy 90 Suite C Longs SC 29568 Ph: (843) 390-1800 | Family Life Medicine 7209 Hwy 90 Suite C Longs SC 29568 Ph: (843) 390-1800 |
| NPI Number | 1558690305 |
|---|---|
| Provider Enumeration Date | 12/08/2009 |
| Last Update Date | 12/08/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558690305 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | TL32240 (South Carolina) | Primary |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7209 Highway 90, Suite C, Longs, SC 29568 Phone: 843-390-1800 |