Organization
MEDICAL OUTREACH CLINIC OF SUMMERVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN S THOMAS (CLINIC MANAGER)
(843) 771-1123
Entity
Organization
Contact information
Practice address
316 W CAROLINA AVE, SUMMERVILLE, SC 29483-4359
(843) 771-1123
(843) 771-1125
Mailing address
111 WARING ST, SUMMERVILLE, SC 29483-4350
(843) 771-1123
(843) 771-1125
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
—
Other
Enumeration date
03/08/2018
Last updated
03/08/2018
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