| Bevid Medical | |
|
324 N Pine St Ste A Spartanburg SC 29302-1631 | |
| (864) 485-3070 | |
| Not Available |
| Full Name | Bevid Medical |
|---|---|
| Speciality | Family Medicine |
| Location | 324 N Pine St Ste A, Spartanburg, South Carolina |
| Authorized Official Name and Position | Omar G Daniels (CEO) |
| Authorized Official Contact | 8642663176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bevid Medical 584 Verdae Dr Spartanburg SC 29301-5384 Ph: (864) 266-3176 | Bevid Medical 324 N Pine St Ste A Spartanburg SC 29302-1631 Ph: (864) 485-3070 |
| NPI Number | 1104522846 |
|---|---|
| Provider Enumeration Date | 02/03/2023 |
| Last Update Date | 12/31/2023 |
| Medicare PECOS PAC ID | 7810356227 |
|---|---|
| Medicare Enrollment ID | O20230703001892 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104522846 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Eric Garcia-torres |
|---|---|
| Provider Type | Practitioner - Hospitalist |
| Provider Identifiers | NPI Number: 1538398037 PECOS PAC ID: 9638316391 Enrollment ID: I20151001001896 |
| Provider Name | Erin L Farr |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013372390 PECOS PAC ID: 8921303488 Enrollment ID: I20160219002113 |
| Provider Name | Latonya Denise Pretty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1437643707 PECOS PAC ID: 5395094031 Enrollment ID: I20180814001789 |
| Provider Name | Estella Janean Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780223685 PECOS PAC ID: 0042455347 Enrollment ID: I20220323002093 |
| Provider Name | Lauren Elizabeth Oloughlin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962992024 PECOS PAC ID: 6103160163 Enrollment ID: I20230609000270 |
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