| Bon Secours Covenant Primary Care | |
|
10 Enterprise Blvd Ste 111 Greenville SC 29615-3534 | |
| (864) 365-0200 | |
| (864) 365-0205 |
| Full Name | Bon Secours Covenant Primary Care |
|---|---|
| Speciality | Internal Medicine |
| Location | 10 Enterprise Blvd Ste 111, Greenville, South Carolina |
| Authorized Official Name and Position | Wilbur R Gay (CFO) |
| Authorized Official Contact | 8646053762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bon Secours Covenant Primary Care Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 365-0200 | Bon Secours Covenant Primary Care 10 Enterprise Blvd Ste 111 Greenville SC 29615-3534 Ph: (864) 365-0200 |
| NPI Number | 1871895771 |
|---|---|
| Provider Enumeration Date | 11/29/2010 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871895771 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | 23959 (South Carolina) | Primary |
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