Organization
MAX PRIMARY CARE LLC
Active
Other names
Serenity Health Care Solutions
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE MAXIE HARRISON III APRN FNP-C (OWNER)
(843) 942-9960
Entity
Organization
Contact information
Practice address
605 W PALMETTO ST, FLORENCE, SC 29501-4301
(843) 942-9960
(843) 799-5088
Mailing address
1209 CENTRAL RD, OLANTA, SC 29114-9773
(843) 616-3410
(802) 400-2609
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
111NI0013X
Independent Medical Examiner Chiropractor
—
—
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
261QP3300X
Pain Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP9651
—
SC
Enumeration date
05/07/2020
Last updated
12/13/2024
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