| |
801 E. Greenville St. Anderson SC 29621 | |
(864) 255-1554 | |
(864) 679-8972 |
Full Name | |
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Speciality | Family Medicine |
Location | 801 E. Greenville St., Anderson, South Carolina |
Authorized Official Name and Position | Wilbur R Gay (VICE PRESIDENT OF FINANCE-BSMG) |
Authorized Official Contact | 8646053762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 255-1554 | 801 E. Greenville St. Anderson SC 29621 Ph: (864) 255-1554 |
NPI Number | 1821310301 |
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Provider Enumeration Date | 02/24/2010 |
Last Update Date | 07/17/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1821310301 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
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