Cherokee Community Care, Llc | |
1307 N Logan St Gaffney SC 29341-2026 | |
(864) 488-1333 | |
Not Available |
Full Name | Cherokee Community Care, Llc |
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Speciality | Family Medicine |
Location | 1307 N Logan St, Gaffney, South Carolina |
Authorized Official Name and Position | Lena Connie Stuart (OWNER/OFFICE MANAGER) |
Authorized Official Contact | 8644881333 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Cherokee Community Care, Llc 1307 N Logan St Gaffney SC 29341-2026 Ph: (864) 488-1333 | Cherokee Community Care, Llc 1307 N Logan St Gaffney SC 29341-2026 Ph: (864) 488-1333 |
NPI Number | 1003462151 |
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Provider Enumeration Date | 08/14/2019 |
Last Update Date | 10/30/2023 |
Medicare PECOS PAC ID | 6406187855 |
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Medicare Enrollment ID | O20191115001042 |
Identifier | Type | State | Issuer |
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1003462151 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Marian J Wasson |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1881665685 PECOS PAC ID: 7618034307 Enrollment ID: I20090325000103 |
Provider Name | Kathleen Gilfillan Bowling |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1649789579 PECOS PAC ID: 5799046108 Enrollment ID: I20180228000443 |
Provider Name | Teresa Ann Smith |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1811501935 PECOS PAC ID: 1456766559 Enrollment ID: I20210224000090 |