| Pee Dee Healthcare Pa | |
|
211 South Jones Road Olanta SC 29114 | |
| (843) 396-9730 | |
| (843) 396-9735 |
| Full Name | Pee Dee Healthcare Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 211 South Jones Road, Olanta, South Carolina |
| Authorized Official Name and Position | Tony R Megna (CEO) |
| Authorized Official Contact | 8037991700 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Healthcare Pa 3400 West Ave Columbia SC 29203-6901 Ph: (803) 799-1700 | Pee Dee Healthcare Pa 211 South Jones Road Olanta SC 29114 Ph: (843) 396-9730 |
| NPI Number | 1518064229 |
|---|---|
| Provider Enumeration Date | 09/17/2006 |
| Last Update Date | 03/05/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518064229 | NPI | - | NPPES |
| RHC126 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Pee Dee Health Care, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 South Jones Rd, Olanta, SC 29114 Phone: 843-396-9723 Fax: 843-396-9735 | |
Woods Bay Family Care Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 128 E Baker St, Olanta, SC 29114 Phone: 843-616-3410 Fax: 866-707-4980 | |
Lower Florence County Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 211 S. Jones Rd, Olanta, SC 29114 Phone: 843-396-9723 Fax: 803-254-3678 |