| |
865 Pendleton St Pickens SC 29671-2578 | |
(864) 878-4639 | |
Not Available |
Full Name | |
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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 |
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Po Box 919 Pickens SC 29671-0919 Ph: (864) 897-8286 | 865 Pendleton St Pickens SC 29671-2578 Ph: (864) 878-4639 |
NPI Number | 1497910772 |
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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 |
Avalonia Group Homes, Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 404 Hampton Ave, Pickens, SC 29671 Phone: 864-836-7220 | |
Cannon Memorial Hospital Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 123 Wg Acker Dr, Pickens, SC 29671 Phone: 864-878-4791 | |