| |
414 N Fant Street Anderson SC 29621-5716 | |
(864) 261-4542 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 414 N Fant Street, Anderson, South Carolina |
Authorized Official Name and Position | Barbara Ann Baptista Una Freund (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8642614542 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 728 Anderson SC 29622 Ph: (864) 261-4542 | 414 N Fant Street Anderson SC 29621-5716 Ph: (864) 261-4542 |
NPI Number | 1376892968 |
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Provider Enumeration Date | 08/29/2012 |
Last Update Date | 08/29/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376892968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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