| Pri-care Inc | |
|
1795 Frank Gaston Blvd Rock Hill SC 29732-1190 | |
| (803) 524-1821 | |
| (704) 380-9117 |
| Full Name | Pri-care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1795 Frank Gaston Blvd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Tolulola O. Adeola (CEO) |
| Authorized Official Contact | 8035241821 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pri-care Inc 1735 Heckle Blvd Ste 103-303 Rock Hill SC 29732-4803 Ph: (803) 524-1821 | Pri-care Inc 1795 Frank Gaston Blvd Rock Hill SC 29732-1190 Ph: (803) 524-1821 |
| NPI Number | 1700316106 |
|---|---|
| Provider Enumeration Date | 06/18/2017 |
| Last Update Date | 06/18/2017 |
| Medicare PECOS PAC ID | 2163798760 |
|---|---|
| Medicare Enrollment ID | O20171026001962 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700316106 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 23570 (South Carolina) | Primary |
| Provider Name | Tolulola Omololu Adeola |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1578582797 PECOS PAC ID: 6608959465 Enrollment ID: I20080218000038 |
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