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Organization

CYPRESS FAMILY MEDICINE

Active
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Organization

CYPRESS FAMILY MEDICINE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
WILLIAM ALDRICH MD (OWNER MD)
(803) 433-5220
Entity
Organization

Contact information

Practice address
1036 PROFESSIONAL CT, MANNING, SC 29102-2827
(803) 433-5220
(803) 433-5221
Mailing address
1036 PROFESSIONAL COURT, MANNING, SC 29102-2827
(803) 433-5220
(803) 433-5221

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
139157
—
SC
01
—
20025399
SELECT HEALTH FIRST CHOICE
SC
01
—
9640181
GHI
SC
01
—
G5090
MEDIGOLD
SC
01
—
P00360790
RAILROAD MEDICARE
SC
Enumeration date
10/12/2006
Last updated
05/06/2008
About Stedi
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