| Atrium Health Primary Care Shiland Family Medicine | |
|
1656 Riverchase Blvd Ste 2400 Rock Hill SC 29732-2084 | |
| (803) 329-5131 | |
| Not Available |
| Full Name | Atrium Health Primary Care Shiland Family Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1656 Riverchase Blvd, Rock Hill, South Carolina |
| Authorized Official Name and Position | Scott Rissmiller (ENTERPRISE EVP) |
| Authorized Official Contact | 7043558675 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Atrium Health Primary Care Shiland Family Medicine Po Box 19305 Charlotte NC 28219-9305 Ph: (704) 631-0002 | Atrium Health Primary Care Shiland Family Medicine 1656 Riverchase Blvd Ste 2400 Rock Hill SC 29732-2084 Ph: (803) 329-5131 |
| NPI Number | 1013675669 |
|---|---|
| Provider Enumeration Date | 12/01/2021 |
| Last Update Date | 11/04/2024 |
| Medicare PECOS PAC ID | 3375449655 |
|---|---|
| Medicare Enrollment ID | O20220408002145 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013675669 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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