| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 323 Lebby St, Pelzer, South Carolina |
| Authorized Official Name and Position | Christine Pearson (VP/CFO) |
| Authorized Official Contact | 8645121000 |
| 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) 947-6666 | 323 Lebby St Pelzer SC 29669-1754 Ph: (864) 947-6666 |
| NPI Number | 1538447172 |
|---|---|
| Provider Enumeration Date | 08/01/2011 |
| Last Update Date | 09/16/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538447172 | NPI | - | NPPES |
| GP5771 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 11429 (South Carolina) | Primary |
Best Life Wellness, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 5 Forest Glenn Ct, Pelzer, SC 29669 Phone: 864-341-1152 | |
Riverstone Wellness Internal Medicine And Psychiatry Llp Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 124 Country Gln, Pelzer, SC 29669 Phone: 864-844-1960 | |