Anderson Family Care, Pa | |
3424 Clemson Blvd Anderson SC 29621-1357 | |
(864) 261-4350 | |
(864) 261-4097 |
Full Name | Anderson Family Care, Pa |
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Speciality | Family Medicine |
Location | 3424 Clemson Blvd, Anderson, South Carolina |
Authorized Official Name and Position | Wajdi Ali Dbouk (OWNER) |
Authorized Official Contact | 8642614350 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Anderson Family Care, Pa 3424 Clemson Blvd Anderson SC 29621-1357 Ph: (864) 261-4350 | Anderson Family Care, Pa 3424 Clemson Blvd Anderson SC 29621-1357 Ph: (864) 261-4350 |
NPI Number | 1942261185 |
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Provider Enumeration Date | 03/29/2006 |
Last Update Date | 03/08/2022 |
Medicare PECOS PAC ID | 6103871173 |
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Medicare Enrollment ID | O20050314000436 |
Identifier | Type | State | Issuer |
---|---|---|---|
1942261185 | NPI | - | NPPES |
GP2619 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Wajdi A Dbouk |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1023073764 PECOS PAC ID: 4284689258 Enrollment ID: I20120210000316 |
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