| North Berkeley Family Care, LLC | |
|
137 Cedar Dr Saint Stephen SC 29479-3371 | |
| (843) 567-4000 | |
| (843) 567-3000 |
| Full Name | North Berkeley Family Care, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 137 Cedar Dr, Saint Stephen, South Carolina |
| Authorized Official Name and Position | Sarah Holleman Brown (OWNER) |
| Authorized Official Contact | 8435674000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| North Berkeley Family Care, LLC Po Box 280 137 Cedar Dr Saint Stephen SC 29479-0280 Ph: (843) 567-4000 | North Berkeley Family Care, LLC 137 Cedar Dr Saint Stephen SC 29479-3371 Ph: (843) 567-4000 |
| NPI Number | 1073564027 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 01/20/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073564027 | NPI | - | NPPES |
| 1982791414 | Other | SC | NPI# FOR PA-C EMPLOYED |
| 1407852791 | Other | SC | NPI # FOR MD EMPLOYED |
| GP4402 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17261 (South Carolina) | Primary |
| 261QR1300X | Clinic/center - Rural Health | () | Secondary |
Palmetto Primary Care Physicians, LLC Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 |
Family Practice of St. Stephen, PA Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 |