Organization
PRIMECARE HEALTH CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA Y POPE MD (OWNER)
(843) 524-2100
Entity
Organization
Contact information
Practice address
1055 RIBAUT RD, SUITE 10, BEAUFORT, SC 29902-5423
(843) 524-2100
(843) 525-9613
Mailing address
27 KEMMERLIN LANE, BEAUFORT, SC 29907-2702
(843) 524-2100
(843) 525-9613
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
24049
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
24049
SC MEDICAL LICENSE #
SC
Enumeration date
11/21/2006
Last updated
04/20/2008
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