| Reagan Medical Consulting Llc | |
|
7107 Bowen Corner Ave Hanahan SC 29410-4813 | |
| (864) 346-3957 | |
| Not Available |
| Full Name | Reagan Medical Consulting Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 7107 Bowen Corner Ave, Hanahan, South Carolina |
| Authorized Official Name and Position | Khairiya C Bryant (CREDENTIALING CONSULTANT) |
| Authorized Official Contact | 8503391359 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Reagan Medical Consulting Llc 1000 Clyburn Pl Aiken SC 29801-4193 Ph: (864) 346-3957 | Reagan Medical Consulting Llc 7107 Bowen Corner Ave Hanahan SC 29410-4813 Ph: (864) 346-3957 |
| NPI Number | 1740860238 |
|---|---|
| Provider Enumeration Date | 04/09/2021 |
| Last Update Date | 04/09/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740860238 | NPI | - | NPPES |
| 169882 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |