| Anmed Health Fairplay Family Medicine | |
|
111 W Pine Grove Rd Fair Play SC 29643-2623 | |
| (864) 972-0414 | |
| (864) 972-0422 |
| Full Name | Anmed Health Fairplay Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 111 W Pine Grove Rd, Fair Play, South Carolina |
| Authorized Official Name and Position | Chrisitine Pearson (CFO) |
| Authorized Official Contact | 8645121109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anmed Health Fairplay Family Medicine Po Box 100174 Columbia SC 29202-3174 Ph: (864) 972-0414 | Anmed Health Fairplay Family Medicine 111 W Pine Grove Rd Fair Play SC 29643-2623 Ph: (864) 972-0414 |
| NPI Number | 1316263007 |
|---|---|
| Provider Enumeration Date | 04/20/2010 |
| Last Update Date | 09/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316263007 | NPI | - | NPPES |
| GP5464 | Medicaid | SC | |
| DT0100 | Other | SC | RR MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Mays Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111 West Pine Grove Road, Fair Play, SC 29643 Phone: 864-972-5720 Fax: 864-972-5724 |