Organization
CLINTON FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EDGAR BENTON BARNARD M.D. (PRESIDENT)
(864) 833-2120
Entity
Organization
Contact information
Practice address
201 JACOBS HWY, CLINTON, SC 29325-7278
(864) 833-2120
(864) 833-6749
Mailing address
PO BOX 684, CLINTON, SC 29325-0684
(864) 833-2120
(864) 833-6749
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
18133
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00187865
MEDICARE 'B' - RAILROAD
SC
Enumeration date
10/22/2007
Last updated
10/24/2007
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