Organization
OCONEE PHYSICIAN PRACTICES
Active
Other names
Between the Lakes Primary Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW G HEDTKE MHA (EXECUTIVE DIRECTOR)
(864) 885-7673
Entity
Organization
Contact information
Practice address
106 RAM CAT ALY, SENECA, SC 29678-3244
(864) 888-4445
(864) 888-4345
Mailing address
123 LILA DOYLE DR, SENECA, SC 29672-9495
(864) 885-7989
(864) 885-7945
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
261QR1300X
SC
Other
Enumeration date
02/05/2008
Last updated
02/05/2008
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