| All Seasons Medical Associates, Llc | |
|
7142 Woodrow St Irmo SC 29063-2832 | |
| (803) 929-7784 | |
| (803) 929-7834 |
| Full Name | All Seasons Medical Associates, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 7142 Woodrow St, Irmo, South Carolina |
| Authorized Official Name and Position | Jeffrey L. Phillips (PRESIDENT) |
| Authorized Official Contact | 8033091275 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| All Seasons Medical Associates, Llc Po Box 3635 Irmo SC 29063-4018 Ph: (803) 929-7784 | All Seasons Medical Associates, Llc 7142 Woodrow St Irmo SC 29063-2832 Ph: (803) 929-7784 |
| NPI Number | 1205256732 |
|---|---|
| Provider Enumeration Date | 04/23/2014 |
| Last Update Date | 04/26/2014 |
| Medicare PECOS PAC ID | 7113143991 |
|---|---|
| Medicare Enrollment ID | O20140731001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205256732 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Secondary |
| Provider Name | Bruce M Easterling |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1336102995 PECOS PAC ID: 6709806078 Enrollment ID: I20051201000198 |
| Provider Name | Stanley W Mccloy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1922098680 PECOS PAC ID: 3274620422 Enrollment ID: I20071105000119 |
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