| Pee Dee Pediatrics | |
|
2835 E Highway 76 Suite 7 Mullins SC 29574-6038 | |
| (843) 431-2650 | |
| (843) 431-2647 |
| Full Name | Pee Dee Pediatrics |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 2835 E Highway 76, Mullins, South Carolina |
| Authorized Official Name and Position | Harold E Tucker (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8434312405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pee Dee Pediatrics Po Box 1150 Marion SC 29571-1150 Ph: (843) 431-2650 | Pee Dee Pediatrics 2835 E Highway 76 Suite 7 Mullins SC 29574-6038 Ph: (843) 431-2650 |
| NPI Number | 1336173970 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 10/02/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336173970 | NPI | - | NPPES |
| RHC121 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | RHC 121 (South Carolina) | Primary |
| 208000000X | Pediatrics | (NU) | Secondary |
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 |