|
| |
|
1530 N Fant St Ste B Anderson SC 29621-4700 | |
| (864) 225-7401 | |
| (864) 225-7201 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Endoscopy |
| Location | 1530 N Fant St Ste B, Anderson, South Carolina |
| Authorized Official Name and Position | Tracy Guin (PRACTICE MANAGER) |
| Authorized Official Contact | 8642257401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1530 N Fant St Ste B Anderson SC 29621-4700 Ph: (864) 225-7401 | 1530 N Fant St Ste B Anderson SC 29621-4700 Ph: (864) 225-7401 |
| NPI Number | 1356477368 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356477368 | NPI | - | NPPES |
| GP2324 | Medicaid | SC | |
| 000338115A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 289 (South Carolina) | Secondary |
| 261QE0800X | Clinic/center - Endoscopy | 289 (South Carolina) | Primary |
Family Medicine Specialists Of Anderson, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 813 N Fant St, Anderson, SC 29621 Phone: 864-260-1590 Fax: 864-260-1596 | |
Upstate Family Medicine Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1517 N Fant St, Anderson, SC 29621 Phone: 864-226-1899 Fax: 864-226-5847 | |
Paradigm Medical Services,pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 110 Perpetual Square Drive, Anderson, SC 29621 Phone: 864-261-9888 Fax: 864-226-0407 | |
Wickiser Rehab & Wellness Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3618 E River St, Anderson, SC 29621 Phone: 864-224-0246 Fax: 864-224-2524 |