| |
1100 Rutherford Rd Ste B Greenville SC 29609-3945 | |
(865) 581-7480 | |
(864) 532-4299 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1100 Rutherford Rd Ste B, Greenville, South Carolina |
Authorized Official Name and Position | Brian Clow (OWNER) |
Authorized Official Contact | 8645817480 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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1100 Rutherford Rd Ste B Greenville SC 29609-3945 Ph: (865) 581-7480 | 1100 Rutherford Rd Ste B Greenville SC 29609-3945 Ph: (865) 581-7480 |
NPI Number | 1083431928 |
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Provider Enumeration Date | 09/23/2024 |
Last Update Date | 12/05/2024 |
Medicare PECOS PAC ID | 6800322678 |
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Medicare Enrollment ID | O20241204002337 |
Identifier | Type | State | Issuer |
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1083431928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Brian David Clow |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1568738466 PECOS PAC ID: 5294041810 Enrollment ID: I20150827001627 |
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