| Family Healthcare Savannah Lakes, a Division of Self Medical Group | |
|
207 Holiday Rd Mc Cormick SC 29835-3430 | |
| (864) 391-5011 | |
| (864) 391-5012 |
| Full Name | Family Healthcare Savannah Lakes, a Division of Self Medical Group |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 207 Holiday Rd, Mc Cormick, South Carolina |
| Authorized Official Name and Position | Matthew T Logan (PRESIDENT AND CEO) |
| Authorized Official Contact | 8647254253 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Healthcare Savannah Lakes, a Division of Self Medical Group 207 Holiday Rd Mc Cormick SC 29835-3430 Ph: (864) 391-5011 | Family Healthcare Savannah Lakes, a Division of Self Medical Group 207 Holiday Rd Mc Cormick SC 29835-3430 Ph: (864) 391-5011 |
| NPI Number | 1992370654 |
|---|---|
| Provider Enumeration Date | 05/25/2021 |
| Last Update Date | 12/14/2021 |
| Certification Date | 12/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992370654 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | () | Primary |
Mccormick Family Practice Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1319 S Main St, Mc Cormick, SC 29835 Phone: 864-852-3336 Fax: 864-852-3339 |
Self Medical Center Savannah Lakes Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 |
Self Medical Center Savannah Lakes Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Holiday Rd, Mc Cormick, SC 29835 Phone: 864-391-5011 |
Mccormick Elementary School Health Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 6977 Sc Highway 28 S, Mc Cormick, SC 29835 Phone: 864-852-3336 Fax: 864-852-3338 |