Organization
PRIMECARE FAMILY PRACTICE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEBOLA EDWARD ROJUGBOKAN MD (PHYSICIAN)
(843) 863-0777
Entity
Organization
Contact information
Practice address
145 ST JAMES AVE, GOOSE CREEK, SC 29445-2923
(843) 863-0777
(843) 824-6119
Mailing address
PO BOX 160, GOOSE CREEK, SC 29445-0160
(843) 863-0777
(843) 824-6119
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
21082
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3958
—
SC
Enumeration date
10/17/2007
Last updated
04/14/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us