| Mobile Medical Care Inc | |
|
210 S Nichols St Nichols SC 29581 | |
| (843) 423-5222 | |
| (843) 526-1389 |
| Full Name | Mobile Medical Care Inc |
|---|---|
| Speciality | General Practice |
| Location | 210 S Nichols St, Nichols, South Carolina |
| Authorized Official Name and Position | Kenneth P Orbeck (PRESIDENT CEO) |
| Authorized Official Contact | 8434235222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Care Inc Po Box 1214 Marion SC 29571 Ph: (843) 423-5222 | Mobile Medical Care Inc 210 S Nichols St Nichols SC 29581 Ph: (843) 423-5222 |
| NPI Number | 1609994060 |
|---|---|
| Provider Enumeration Date | 03/26/2007 |
| Last Update Date | 10/12/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609994060 | NPI | - | NPPES |
| 8835 | Other | SC | PTAN |
| T00149 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 0513 (South Carolina) | Primary |