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Organization
MAIN STREET MEDICAL ASSOCIATES LLC
Active
Organization
MAIN STREET MEDICAL ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGELA HUCKS COOPER PA-C (OWNER)
(843) 433-8010
Entity
Organization
Contact information
Practice address
618 N MAIN ST, MARION, SC 29571-3034
(843) 433-8010
(843) 433-8692
Mailing address
PO BOX 1440, MARION, SC 29571-1440
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
09/06/2024
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