Provider Demographics
NPI:1518104223
Name:MEEHAN, PATRICK P (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:P
Last Name:MEEHAN
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1624 MAIN STREET
Mailing Address - Street 2:AGAPE SENIOR PRIMARY CARE, INC. DBA LTC HEALTH SOLUTION
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29201-2818
Mailing Address - Country:US
Mailing Address - Phone:803-726-2283
Mailing Address - Fax:803-753-9102
Practice Address - Street 1:9302 MEDICAL PLAZA DRIVE STE C
Practice Address - Street 2:AGAPE SENIOR PRIMARY CARE, INC.
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29406-9142
Practice Address - Country:US
Practice Address - Phone:800-491-0909
Practice Address - Fax:843-353-2581
Is Sole Proprietor?:No
Enumeration Date:2009-01-16
Last Update Date:2022-07-21
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Provider Licenses
StateLicense IDTaxonomies
SCTL 24309207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine