| Carolina Integrative Medicine, Pa | |
|
1011 Tiger Blvd Suite 300 Clemson SC 29631-2915 | |
| (864) 324-3704 | |
| Not Available |
| Full Name | Carolina Integrative Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 1011 Tiger Blvd, Clemson, South Carolina |
| Authorized Official Name and Position | Aimee Duffy (PRESIDENT) |
| Authorized Official Contact | 8643243704 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Integrative Medicine, Pa Po Box 550 Clemson SC 29633-0550 Ph: () - | Carolina Integrative Medicine, Pa 1011 Tiger Blvd Suite 300 Clemson SC 29631-2915 Ph: (864) 324-3704 |
| NPI Number | 1467734558 |
|---|---|
| Provider Enumeration Date | 09/14/2011 |
| Last Update Date | 09/14/2011 |
| Medicare PECOS PAC ID | 3274791595 |
|---|---|
| Medicare Enrollment ID | O20120215001013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467734558 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 24716 (South Carolina) | Primary |
| Provider Name | Sena S Shirley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407139959 PECOS PAC ID: 4880816453 Enrollment ID: I20141114001424 |
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