| Roebuck Family Practice | |
|
2001 E Blackstock Rd Suite 400 Roebuck SC 29376-2734 | |
| (864) 587-0200 | |
| (864) 587-0300 |
| Full Name | Roebuck Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2001 E Blackstock Rd, Roebuck, South Carolina |
| Authorized Official Name and Position | Shannon C Webb (COOWNER) |
| Authorized Official Contact | 8645870200 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roebuck Family Practice 2001 E. Blackstock Rd Suite 400 Roebuck SC 29376-2734 Ph: (864) 587-0200 | Roebuck Family Practice 2001 E Blackstock Rd Suite 400 Roebuck SC 29376-2734 Ph: (864) 587-0200 |
| NPI Number | 1760697536 |
|---|---|
| Provider Enumeration Date | 05/14/2007 |
| Last Update Date | 03/13/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1760697536 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mary Black Family Medicine-dorman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5229 Highway 221, Roebuck, SC 29376 Phone: 864-576-8193 | |
Mary Black Family Medicine Dorman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5229 Highway 221, Roebuck, SC 29376 Phone: 864-576-8193 | |
Medical Group Of The Carolinas - Family Medicine - Dorman Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5229 Highway 221, Roebuck, SC 29376 Phone: 864-576-8193 Fax: 864-576-8952 |