W. Hugh Morgan Family Practice | |
801 Mobley St Johnston SC 29832-1366 | |
(803) 275-4653 | |
(803) 275-1951 |
Full Name | W. Hugh Morgan Family Practice |
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Speciality | Clinic/Center |
Location | 801 Mobley St, Johnston, South Carolina |
Authorized Official Name and Position | Walter Hugh Morgan (OWNER/MEDICAL DIRECTOR) |
Authorized Official Contact | 8032754653 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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W. Hugh Morgan Family Practice 801 Mobley St Johnston SC 29832-1366 Ph: (803) 275-4653 | W. Hugh Morgan Family Practice 801 Mobley St Johnston SC 29832-1366 Ph: (803) 275-4653 |
NPI Number | 1033154745 |
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Provider Enumeration Date | 06/17/2006 |
Last Update Date | 08/22/2020 |
Medicare PECOS PAC ID | 3577724053 |
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Medicare Enrollment ID | O20120410000210 |
Identifier | Type | State | Issuer |
---|---|---|---|
1033154745 | NPI | - | NPPES |
PC0405 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | 207Q00000X (South Carolina) | Primary |
Provider Name | Walter H Morgan |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1316974587 PECOS PAC ID: 8123041449 Enrollment ID: I20120410000246 |
Self Regional Healthcare Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Mobley St, Johnston, SC 29832 Phone: 803-275-4653 | |
Self Regional Healthcare Partners Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Mobley St, Johnston, SC 29832 Phone: 803-275-4653 |