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NPI Code Detail

MEDICARE: PRIMARY CARE OF HARTSVILLE

MEDICARE: PRIMARY CARE OF HARTSVILLE
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
1207R00000XInternal Medicine PhysicianSC

General Provider Information

NPI Number : 1538167598
Entity Type Code : Organization
Provider Name (Legal Business Name) : PRIMARY CARE OF HARTSVILLE
Provider Business Mailing Address
First Line : PO BOX 1469
Second Line :
City : HARTSVILLE
State : SC
Zip : 29551-1469
Country : US
Telephone Number : 843-857-0800
Fax Number : 843-857-4629
Provider Business Practice Location Address
First Line : 701 MEDICAL PARK DR
Second Line : STE 104
City : HARTSVILLE
State : SC
Zip : 29550-4777
Country : US
Telephone Number : 843-857-0800
Fax Number :
Authorized Official
Title or Position : OWNER
Name : EMMANUEL O. QUAYE
Credential : MD
Telephone Number : 843-857-0800
Provider Enumeration Date : 07/13/2005
Last Update Date : 07/21/2022

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Directions to “PRIMARY CARE OF HARTSVILLE ” Practice Location

Language Start Address Practice Location
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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