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200 Fleet Wood Dr 3 Rd Floor Easley SC 29640 | |
(864) 442-7279 | |
(864) 442-7559 |
Full Name | |
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Speciality | Clinic/center |
Location | 200 Fleet Wood Dr 3 Rd Floor, Easley, South Carolina |
Authorized Official Name and Position | Kathleen M Stapleton (CFO) |
Authorized Official Contact | 8644428610 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2089 Easley SC 29641-2089 Ph: (864) 855-5104 | 200 Fleet Wood Dr 3 Rd Floor Easley SC 29640 Ph: (864) 442-7279 |
NPI Number | 1538593017 |
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Provider Enumeration Date | 09/03/2013 |
Last Update Date | 11/24/2015 |
Identifier | Type | State | Issuer |
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1538593017 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (South Carolina) | Primary |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |