Blue Granite Medical Center | |
880 W Moultrie St Winnsboro SC 29180-2411 | |
(803) 635-0288 | |
(803) 635-0262 |
Full Name | Blue Granite Medical Center |
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Speciality | Family Medicine |
Location | 880 W Moultrie St, Winnsboro, South Carolina |
Authorized Official Name and Position | Anne H Bass (CFO) |
Authorized Official Contact | 8036350247 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Blue Granite Medical Center Po Box 620 Winnsboro SC 29180-0620 Ph: (803) 635-0288 | Blue Granite Medical Center 880 W Moultrie St Winnsboro SC 29180-2411 Ph: (803) 635-0288 |
NPI Number | 1801100409 |
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Provider Enumeration Date | 08/06/2010 |
Last Update Date | 08/06/2010 |
Identifier | Type | State | Issuer |
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1801100409 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fairfield Medical Associates, Pa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 880 West Moultrie St., Suite 200, Winnsboro, SC 29180 Phone: 803-635-6487 Fax: 803-635-6089 | |