| Loris Medical Center, Pa | |
|
3439 Casey St Loris SC 29569-2903 | |
| (843) 756-1582 | |
| (843) 756-2042 |
| Full Name | Loris Medical Center, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 3439 Casey St, Loris, South Carolina |
| Authorized Official Name and Position | Wanda Graham (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8437565300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Loris Medical Center, Pa 3439 Casey St Loris SC 29569-2903 Ph: (843) 756-5300 | Loris Medical Center, Pa 3439 Casey St Loris SC 29569-2903 Ph: (843) 756-1582 |
| NPI Number | 1740216191 |
|---|---|
| Provider Enumeration Date | 06/25/2006 |
| Last Update Date | 09/10/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740216191 | NPI | - | NPPES |
| 4771 | Other | SC | PALMETTO MEDICARE |
| GP1053 | Medicaid | SC | |
| CA6664 | Other | SC | RAILROAD MEDICARE |
| 5950200 | Medicaid | NC | |
| 0291J | Other | NC | NORTH CAROLINA BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3112 Casey St, Loris, SC 29569 Phone: 843-716-8940 Fax: 843-716-9760 | |
Southern Medical Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3418 Casey St, Loris, SC 29569 Phone: 843-756-7885 Fax: 843-756-7855 | |
Mcleod Physician Associates Ii Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3109 Casey St, Suite B, Loris, SC 29569 Phone: 843-756-8090 Fax: 843-756-6122 | |
Loris Community Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3204 Casey St, Loris, SC 29569 Phone: 843-716-7270 Fax: 843-756-9260 | |
Little River Medical Center, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3817 Main St, Loris, SC 29569 Phone: 843-663-8000 Fax: 843-756-6828 | |
Loris Community Hospital District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3655 Mitchell Street, Loris, SC 29569 Phone: 843-716-7596 Fax: 843-716-7093 |