Carolina Spine And Pain Centers, Llc | |
115 Brushy Creek Rd Easley SC 29642-1120 | |
(864) 635-0376 | |
(864) 442-6848 |
Full Name | Carolina Spine And Pain Centers, Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 115 Brushy Creek Rd, Easley, South Carolina |
Authorized Official Name and Position | Blake Leche (MEMBER) |
Authorized Official Contact | 8646350376 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Carolina Spine And Pain Centers, Llc 115 Brushy Creek Rd Easley SC 29642-1120 Ph: (864) 635-0376 | Carolina Spine And Pain Centers, Llc 115 Brushy Creek Rd Easley SC 29642-1120 Ph: (864) 635-0376 |
NPI Number | 1467091306 |
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Provider Enumeration Date | 12/23/2019 |
Last Update Date | 04/10/2020 |
Identifier | Type | State | Issuer |
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1467091306 | NPI | - | NPPES |
314305 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |