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2000 E Greenville St Suite 3700 Anderson SC 29621-1580 | |
| (864) 512-1475 | |
| (864) 512-1930 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 2000 E Greenville St, Anderson, South Carolina |
| Authorized Official Name and Position | Christine Pearson (CFO) |
| Authorized Official Contact | 8645121109 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 100174 Columbia SC 29202-3174 Ph: (864) 512-1475 | 2000 E Greenville St Suite 3700 Anderson SC 29621-1580 Ph: (864) 512-1475 |
| NPI Number | 1003841461 |
|---|---|
| Provider Enumeration Date | 07/12/2006 |
| Last Update Date | 07/21/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003841461 | NPI | - | NPPES |
| GP3159 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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