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1040 Marlboro Way Suite 1 Bennettsville SC 29512-2494 | |
(843) 479-5890 | |
(843) 479-5893 |
Full Name | |
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Speciality | Clinic/center - Rural Health |
Location | 1040 Marlboro Way, Bennettsville, South Carolina |
Authorized Official Name and Position | Laurie Holtsford (AUTHORIZED OFFICIAL) |
Authorized Official Contact | 6154657466 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1040 Marlboro Way Suite 1 Bennettsville SC 29512-2494 Ph: (843) 479-5890 | 1040 Marlboro Way Suite 1 Bennettsville SC 29512-2494 Ph: (843) 479-5890 |
NPI Number | 1508876863 |
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Provider Enumeration Date | 08/09/2006 |
Last Update Date | 01/21/2014 |
Identifier | Type | State | Issuer |
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1508876863 | NPI | - | NPPES |
GP1449 | Medicaid | SC | |
5901801 | Medicaid | NC |
Caresouth Carolina, Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 999 Cheraw St, Bennettsville, SC 29512 Phone: 843-479-2341 | |