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901 W Greenwood St Ste 1 Abbeville SC 29620-5717 | |
(864) 366-9681 | |
(864) 366-5600 |
Full Name | |
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Speciality | Clinic/Center |
Location | 901 W Greenwood St Ste 1, Abbeville, South Carolina |
Authorized Official Name and Position | Matthew Tolbert Logan (PRESIDENT/ CEO) |
Authorized Official Contact | 8647254780 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 887 Abbeville SC 29620-0887 Ph: (864) 366-5011 | 901 W Greenwood St Ste 1 Abbeville SC 29620-5717 Ph: (864) 366-9681 |
NPI Number | 1629371661 |
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Provider Enumeration Date | 12/14/2010 |
Last Update Date | 11/05/2024 |
Medicare PECOS PAC ID | 7719891506 |
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Medicare Enrollment ID | O20101216000419 |
Identifier | Type | State | Issuer |
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1629371661 | NPI | - | NPPES |
RHC210 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pine Tree Family Practice, P. A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Greenwood St, Building 2, Abbeville, SC 29620 Phone: 864-366-9611 Fax: 864-366-8521 | |
Abbeville County School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Greenville St., Abbeville, SC 29620 Phone: 864-336-5427 Fax: 864-366-8531 | |
Gonzalez Internal Medicine Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Greenwood St, Suite 6, Abbeville, SC 29620 Phone: 864-366-9938 Fax: 864-366-0818 | |
Ohio Valley Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Whitehall St, Abbeville, SC 29620 Phone: 888-221-1826 |