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1202 E Butler Rd Greenville SC 29607-5910 | |
(864) 640-0009 | |
(864) 558-0589 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1202 E Butler Rd, Greenville, South Carolina |
Authorized Official Name and Position | Judith Richter (MANAGER ASSISTANT) |
Authorized Official Contact | 8642027033 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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2131 Woodruff Road Suite 2100 #127 Greenville SC 29607-5959 Ph: (864) 640-0009 | 1202 E Butler Rd Greenville SC 29607-5910 Ph: (864) 640-0009 |
NPI Number | 1881028892 |
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Provider Enumeration Date | 08/27/2013 |
Last Update Date | 02/24/2015 |
Medicare PECOS PAC ID | 2264668540 |
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Medicare Enrollment ID | O20131114000858 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881028892 | NPI | - | NPPES |
GP6250 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Ma Cheryl A Sarmiento |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1639102288 PECOS PAC ID: 4385642891 Enrollment ID: I20061116000544 |
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