Organization · Type 2 NPI
Main ST Medical - New Ellenton LLC
Primary Care Clinic/Center · New Ellenton, SC
NPI number
1316762149
Active
Practice location
735 Main St N
New Ellenton, SC 29809-2518
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | None listed |
Primary Care Clinic/Center: Definition to come...
3 other providers at this address
About NPI 1316762149
Main ST Medical - New Ellenton LLC's National Provider Identifier is 1316762149, issued on Nov 18, 2024. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in New Ellenton, SC. The record was last updated on Nov 18, 2024.