| Mcleod Family Medicine-timmonsville | |
|
755 E Smith St Timmonsville SC 29161-9430 | |
| (843) 346-3900 | |
| Not Available |
| Full Name | Mcleod Family Medicine-timmonsville |
|---|---|
| Speciality | Clinic/Center |
| Location | 755 E Smith St, Timmonsville, South Carolina |
| Authorized Official Name and Position | Samuel Fulton Ervin (SR VICE PRESIDENT 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-timmonsville Po Box 100567 Florence SC 29502-0567 Ph: () - | Mcleod Family Medicine-timmonsville 755 E Smith St Timmonsville SC 29161-9430 Ph: (843) 346-3900 |
| NPI Number | 1003461773 |
|---|---|
| Provider Enumeration Date | 08/08/2019 |
| Last Update Date | 08/14/2019 |
| Medicare PECOS PAC ID | 0840582656 |
|---|---|
| Medicare Enrollment ID | O20190909003930 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003461773 | NPI | - | NPPES |
| RHC137 | Medicaid | SC | |
| GP1781 | Medicaid | SC | |
| 42-8962 | Other | SC | PTAN |
| RHC170 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Mcleod Family Practice - Timmonsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 E Smith St, Timmonsville, SC 29161 Phone: 843-346-3900 Fax: 843-346-7839 | |
Hopehealth Timmonsville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 210 E Market St, Timmonsville, SC 29161 Phone: 843-346-3730 Fax: 843-346-7687 | |
Mcleod Family Practice - Timmonsville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 755 E Smith St, Timmonsville, SC 29161 Phone: 843-346-3900 Fax: 843-346-7839 |