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NPI Code Detail

MEDICARE: A DOCTOR ON CALL

MEDICARE: A DOCTOR ON CALL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP2300XPrimary Care Clinic/Center131146SCSC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1952515132
Entity Type Code : Organization
Provider Name (Legal Business Name) : A DOCTOR ON CALL
Provider Business Mailing Address
First Line : 1202 PALM BLVD
Second Line :
City : ISLE OF PALMS
State : SC
Zip : 29451-2296
Country : US
Telephone Number : 843-886-4402
Fax Number : 843-886-4430
Provider Business Practice Location Address
First Line : 1202 PALM BLVD
Second Line :
City : ISLE OF PALMS
State : SC
Zip : 29451-2296
Country : US
Telephone Number : 843-886-4402
Fax Number : 843-886-4430
Authorized Official
Title or Position : CORPORATE OFFICER
Name : DR. KATHLEEN R MALANEY
Credential : M.D.
Telephone Number : 843-886-4402
Provider Enumeration Date : 05/09/2007
Last Update Date : 08/22/2020

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Directions to “A DOCTOR ON CALL ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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