Home » South Carolina » 29696 » Golden Corner Family Prac

Golden Corner Family Prac

Golden Corner Family Prac is a health care provider in West Union, SC. In this page you will find its mailing address, practice location, phone number, specialty etc.

physician-icon Basic Information

Practice Location 1205 N Highway 11, West Union, SC 29696-2715, US
Practice Location Phone864-638-5402
Practice Location Fax864-638-6126
Legal Business NameGOLDEN CORNER FAMILY PRAC
NPI ?1184771321
Entity TypeOrganization
Enumeration Date ? Jan 3, 2007
Last Update Date ? Mar 17, 2010
Note:
NPI: National Provider Identifier issued to health care providers by Centers for Medicare and Medicaid Services (CMS).

specialty-icon Specialties & Licenses of Golden Corner Family Prac

SpecialtySpecializationLicenseLicense State
Family Medicine South Carolina

legacy-id-icon Legacy Provider IDs of Golden Corner Family Prac

Provider IdIssuer StateIssuer TypeIssuer
094953South CarolinaMedicaid
L31366South CarolinaMedicaid
L31357South CarolinaMedicaid

official-icon Authorized Official of Golden Corner Family Prac

An authorized official is an appointed official with the legal authority to make changes and/or updates to the Golden Corner Family Prac's status and to commit the provider to fully abide by the laws and regulations relating to the National Provider Identifier (NPI).

Authorized Official Dr. Edward H. Booker (M.D.)
Authorized Official Title/PositionCEO
Authorized Official Phone Number864-638-5402