| 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 | 
|---|---|
| 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 | 
|---|---|
| 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 | 
|---|---|
| Provider Enumeration Date | 06/17/2006 | 
| Last Update Date | 08/22/2020 | 
| Medicare PECOS PAC ID | 3577724053 | 
|---|---|
| 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 | 
|---|---|
| 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  |