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130 Mallard St Greenville SC 29601-4046 | |
(864) 729-8330 | |
(855) 425-5034 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 130 Mallard St, Greenville, South Carolina |
Authorized Official Name and Position | J Brandon Gaffney (CEO & PRESIDENT) |
Authorized Official Contact | 8647298330 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 287 Greenville SC 29602-0287 Ph: (864) 729-8330 | 130 Mallard St Greenville SC 29601-4046 Ph: (864) 729-8330 |
NPI Number | 1104078872 |
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Provider Enumeration Date | 10/14/2008 |
Last Update Date | 11/01/2024 |
Identifier | Type | State | Issuer |
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1104078872 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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