| Walterboro Adult & Pediatric Medicine, Llc | |
|
447 Spruce St Walterboro SC 29488-2766 | |
| (843) 549-6331 | |
| (843) 782-4380 |
| Full Name | Walterboro Adult & Pediatric Medicine, Llc |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 447 Spruce St, Walterboro, South Carolina |
| Authorized Official Name and Position | Larry R. Lutz (OFFICE MANAGER) |
| Authorized Official Contact | 8435496331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walterboro Adult & Pediatric Medicine, Llc 447 Spruce St Walterboro SC 29488-2766 Ph: (843) 549-6331 | Walterboro Adult & Pediatric Medicine, Llc 447 Spruce St Walterboro SC 29488-2766 Ph: (843) 549-6331 |
| NPI Number | 1376873802 |
|---|---|
| Provider Enumeration Date | 01/06/2010 |
| Last Update Date | 01/06/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376873802 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | SC217768 (South Carolina) | Primary |
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