| 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 |