| Primedoc Of Seneca Pa | |
|
298 Memorial Dr Seneca SC 29672-9443 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | Primedoc Of Seneca Pa |
|---|---|
| Speciality | Internal Medicine |
| Location | 298 Memorial Dr, Seneca, South Carolina |
| Authorized Official Name and Position | Robert J Reynolds (PRESIDENT) |
| Authorized Official Contact | 8282103260 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Primedoc Of Seneca Pa Po Box 601862 Charlotte NC 28260-1862 Ph: (843) 237-3378 | Primedoc Of Seneca Pa 298 Memorial Dr Seneca SC 29672-9443 Ph: (843) 237-3378 |
| NPI Number | 1346313137 |
|---|---|
| Provider Enumeration Date | 11/17/2006 |
| Last Update Date | 03/17/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346313137 | NPI | - | NPPES |
| GP4585 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (South Carolina) | Primary |
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