| Broadstep Academy- South Carolina Inc | |
|
1399 Harmony Camp Rd Greeleyville SC 29056-9666 | |
| (843) 473-4656 | |
| (843) 473-4676 |
| Full Name | Broadstep Academy- South Carolina Inc |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1399 Harmony Camp Rd, Greeleyville, South Carolina |
| Authorized Official Name and Position | Kedrian Coleman (DIRECTOR REVENUE CYCLE) |
| Authorized Official Contact | 9197090197 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadstep Academy- South Carolina Inc 1991 Glenns Bay Rd Myrtle Beach SC 29575-8614 Ph: (843) 215-0242 | Broadstep Academy- South Carolina Inc 1399 Harmony Camp Rd Greeleyville SC 29056-9666 Ph: (843) 473-4656 |
| NPI Number | 1083149330 |
|---|---|
| Provider Enumeration Date | 04/25/2017 |
| Last Update Date | 08/25/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083149330 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | SC18446 (South Carolina) | Secondary |
Hopehealth Greeleyville Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 86 North Main Street, Greeleyville, SC 29056 Phone: 843-426-2335 Fax: 843-426-2346 | |
Brh - Greeleyville Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 86 N Main St, Greeleyville, SC 29056 Phone: 843-426-2180 Fax: 843-426-2182 |