| Barnet Park Family Medicine | |
|
169 Hall St Spartanburg SC 29302-1523 | |
| (864) 542-9966 | |
| (864) 542-9977 |
| Full Name | Barnet Park Family Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 169 Hall St, Spartanburg, South Carolina |
| Authorized Official Name and Position | Therion Langford Moore (OFFICE MANAGER) |
| Authorized Official Contact | 8645429966 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Barnet Park Family Medicine 169 Hall St Spartanburg SC 29302-1523 Ph: (864) 542-9966 | Barnet Park Family Medicine 169 Hall St Spartanburg SC 29302-1523 Ph: (864) 542-9966 |
| NPI Number | 1194850669 |
|---|---|
| Provider Enumeration Date | 02/23/2007 |
| Last Update Date | 06/24/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194850669 | NPI | - | NPPES |
| 236355 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 23635 (South Carolina) | Primary |
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