| Blue Ridge Medical Associates, Pa | |
|
1504 E Rutherford St Landrum SC 29356-1416 | |
| (864) 457-4500 | |
| (864) 457-2195 |
| Full Name | Blue Ridge Medical Associates, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1504 E Rutherford St, Landrum, South Carolina |
| Authorized Official Name and Position | Thomas Irwin Dashiell (PRESIDENT) |
| Authorized Official Contact | 8644574500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Medical Associates, Pa 1504 E Rutherford St Landrum SC 29356-1416 Ph: (864) 457-4500 | Blue Ridge Medical Associates, Pa 1504 E Rutherford St Landrum SC 29356-1416 Ph: (864) 457-4500 |
| NPI Number | 1588609366 |
|---|---|
| Provider Enumeration Date | 06/17/2006 |
| Last Update Date | 11/20/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588609366 | NPI | - | NPPES |
| GP4059 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 12702 (South Carolina) | Primary |
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Landrum Family Healthcare Center, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Rutherford St, Landrum, SC 29356 Phone: 864-457-2363 Fax: 864-457-2736 | |
Medical Group Of The Carolinas - Family Medicine - Landrum Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 North Howard Avenue, Landrum, SC 29356 Phone: 864-457-3838 Fax: 864-560-4413 | |
Mary Black Physicians Group Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 108 W Rutherford St, Landrum, SC 29356 Phone: 834-475-4703 Fax: 864-457-2736 | |
Landrum Family Health Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 108 W Rutherford St, Landrum, SC 29356 Phone: 864-457-2363 Fax: 864-457-2736 | |
Wanda J Starling Md Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1014 S Blackstock Road, Landrum, SC 29356 Phone: 864-457-2033 Fax: 864-457-5504 |