| Carolina Primary Care And Diabetes Center Llc | |
|
3320 N Highway 81 Anderson SC 29621-3626 | |
| (864) 231-0235 | |
| Not Available |
| Full Name | Carolina Primary Care And Diabetes Center Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3320 N Highway 81, Anderson, South Carolina |
| Authorized Official Name and Position | Joseph Abraham (OWNER/MANAGER) |
| Authorized Official Contact | 6102161008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carolina Primary Care And Diabetes Center Llc 3320 N Highway 81 Anderson SC 29621-3626 Ph: (610) 216-1008 | Carolina Primary Care And Diabetes Center Llc 3320 N Highway 81 Anderson SC 29621-3626 Ph: (864) 231-0235 |
| NPI Number | 1306191077 |
|---|---|
| Provider Enumeration Date | 07/19/2012 |
| Last Update Date | 05/13/2016 |
| Medicare PECOS PAC ID | 6204083959 |
|---|---|
| Medicare Enrollment ID | O20120831000071 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306191077 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 34406 (South Carolina) | Primary |
| Provider Name | Joseph M Abraham |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1497934657 PECOS PAC ID: 9830288323 Enrollment ID: I20120619000678 |
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