Fort Mill Family Practice | |
1690 Highway 160 W Fort Mill SC 29708-8024 | |
(803) 547-7541 | |
(803) 548-0122 |
Full Name | Fort Mill Family Practice |
---|---|
Speciality | Internal Medicine |
Location | 1690 Highway 160 W, Fort Mill, South Carolina |
Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
Authorized Official Contact | 4042655009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Fort Mill Family Practice 1690 Highway 160 W Fort Mill SC 29708-8024 Ph: (803) 547-7541 | Fort Mill Family Practice 1690 Highway 160 W Fort Mill SC 29708-8024 Ph: (803) 547-7541 |
NPI Number | 1689004376 |
---|---|
Provider Enumeration Date | 11/18/2013 |
Last Update Date | 06/23/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1689004376 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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Novant Health Fort Mill Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 Fax: 803-548-0122 | |
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