| Mcleod Family Medicine-marion | |
|
3032 E Highway 76 Mullins SC 29574-7396 | |
| (843) 464-7111 | |
| Not Available |
| Full Name | Mcleod Family Medicine-marion |
|---|---|
| Speciality | Clinic/Center |
| Location | 3032 E Highway 76, Mullins, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SR VP AND CFO) |
| Authorized Official Contact | 8437772910 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcleod Family Medicine-marion Po Box 100567 Florence SC 29502-0567 Ph: () - | Mcleod Family Medicine-marion 3032 E Highway 76 Mullins SC 29574-7396 Ph: (843) 464-7111 |
| NPI Number | 1710532486 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 10/04/2019 |
| Medicare PECOS PAC ID | 7911228259 |
|---|---|
| Medicare Enrollment ID | O20190927003167 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710532486 | NPI | - | NPPES |
| 42-8927 | Other | SC | PTAN |
| RHC169 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Medical University Hospital Authority Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 | |
Total Family Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2835 E Highway 76, Suite 7, Mullins, SC 29574 Phone: 843-431-2710 Fax: 843-431-2716 | |
Independent Physicians Group Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 S Main St, Mullins, SC 29574 Phone: 843-464-1201 Fax: 843-464-1219 | |
Advanced Medical Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 Fax: 843-464-6519 | |
Palmetto Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1002 S Main St, Mullins, SC 29574 Phone: 843-245-0613 | |
Mcleod Family Medicine - Marion County Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3032 E Highway 76, Mullins, SC 29574 Phone: 843-292-7300 Fax: 843-292-7324 | |
Musc Health Primary Care Mullins Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 511 S Main St, Mullins, SC 29574 Phone: 843-464-8244 |