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801 E Greenville St Anderson SC 29621-4070 | |
| (864) 261-8000 | |
| (864) 224-1514 |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| Location | 801 E Greenville St, Anderson, South Carolina |
| Authorized Official Name and Position | Ann M Marcie (PRACTICE MANAGER) |
| Authorized Official Contact | 8642618000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
801 E Greenville St Anderson SC 29621-4070 Ph: (864) 261-8000 | 801 E Greenville St Anderson SC 29621-4070 Ph: (864) 261-8000 |
| NPI Number | 1407969520 |
|---|---|
| Provider Enumeration Date | 08/15/2006 |
| Last Update Date | 10/17/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407969520 | NPI | - | NPPES |
| GP0986 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 13578 (South Carolina) | Primary |
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