| |
600 N Fant St Anderson SC 29621-5704 | |
(864) 512-1787 | |
Not Available |
Full Name | |
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Speciality | General Practice |
Location | 600 N Fant St, Anderson, South Carolina |
Authorized Official Name and Position | Jerry A. Parrish (CFO) |
Authorized Official Contact | 8645121109 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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800 N Fant St Anderson SC 29621-5708 Ph: (864) 512-1417 | 600 N Fant St Anderson SC 29621-5704 Ph: (864) 512-1787 |
NPI Number | 1447434543 |
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Provider Enumeration Date | 12/26/2007 |
Last Update Date | 12/26/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447434543 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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208D00000X | General Practice | (* (Not Available)) | Primary |
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