| Cannon Family Practice - Pendleton Street | |
|
865 Pendleton St Pickens SC 29671-2578 | |
| (864) 878-4639 | |
| Not Available |
| Full Name | Cannon Family Practice - Pendleton Street |
|---|---|
| Speciality | Family Medicine |
| Location | 865 Pendleton St, Pickens, South Carolina |
| Authorized Official Name and Position | Norman G Rentz (CEO) |
| Authorized Official Contact | 8648784791 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Cannon Family Practice - Pendleton Street Po Box 919 Pickens SC 29671-0919 Ph: (864) 897-8286 | Cannon Family Practice - Pendleton Street 865 Pendleton St Pickens SC 29671-2578 Ph: (864) 878-4639 |
| NPI Number | 1497910772 |
|---|---|
| Provider Enumeration Date | 07/25/2008 |
| Last Update Date | 02/12/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497910772 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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