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700 Brushy Creek Rd Easley SC 29642-2200 | |
(513) 752-8000 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 700 Brushy Creek Rd, Easley, South Carolina |
Authorized Official Name and Position | Rodney Neill (COO, MEDICAL GROUP) |
Authorized Official Contact | 3307208546 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1701 Mercy Health Pl Cincinnati OH 45237-6147 Ph: (513) 752-8000 | 700 Brushy Creek Rd Easley SC 29642-2200 Ph: (513) 752-8000 |
NPI Number | 1043927916 |
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Provider Enumeration Date | 11/01/2022 |
Last Update Date | 04/26/2023 |
Medicare PECOS PAC ID | 4688044977 |
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Medicare Enrollment ID | O20230320000469 |
Identifier | Type | State | Issuer |
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1043927916 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
Provider Name | Julie M Dangler |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1649234386 PECOS PAC ID: 2062567894 Enrollment ID: I20090901000055 |
Provider Name | Sarah Kuhnell |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1730595414 PECOS PAC ID: 8729206248 Enrollment ID: I20240112002712 |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |