| Family Practice Of St. Stephen, Pa | |
|
104 Funk Ave Saint Stephen SC 29479-3383 | |
| (843) 567-3206 | |
| (843) 567-3287 |
| Full Name | Family Practice Of St. Stephen, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Funk Ave, Saint Stephen, South Carolina |
| Authorized Official Name and Position | Samuel Owens Schumann (PRESIDENT) |
| Authorized Official Contact | 8435673206 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Practice Of St. Stephen, Pa Po Box 549 Saint Stephen SC 29479-0549 Ph: (843) 567-3206 | Family Practice Of St. Stephen, Pa 104 Funk Ave Saint Stephen SC 29479-3383 Ph: (843) 567-3206 |
| NPI Number | 1659541613 |
|---|---|
| Provider Enumeration Date | 03/06/2008 |
| Last Update Date | 03/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659541613 | NPI | - | NPPES |
| PA0169 | Medicaid | SC | |
| 135507 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13550 (South Carolina) | Primary |
North Berkeley Family Care, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Cedar Dr, Saint Stephen, SC 29479 Phone: 843-567-4000 Fax: 843-567-3000 | |
Palmetto Primary Care Physicians, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 |