Dr Joe Dupuy Pc | |
1209 Ne Main St Ste C Simpsonville SC 29681 | |
(864) 399-9563 | |
(864) 399-9564 |
Full Name | Dr Joe Dupuy Pc |
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Speciality | Clinic/Center |
Location | 1209 Ne Main St Ste C, Simpsonville, South Carolina |
Authorized Official Name and Position | Joseph Andrew Dupuy (OWNER) |
Authorized Official Contact | 8643999563 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Dr Joe Dupuy Pc 1209 Ne Main St Ste C Simpsonville SC 29681 Ph: (864) 399-9563 | Dr Joe Dupuy Pc 1209 Ne Main St Ste C Simpsonville SC 29681 Ph: (864) 399-9563 |
NPI Number | 1285897355 |
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Provider Enumeration Date | 07/08/2008 |
Last Update Date | 07/08/2008 |
Medicare PECOS PAC ID | 4385839836 |
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Medicare Enrollment ID | O20101110001096 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285897355 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | 2957 (South Dakota) | Primary |
Provider Name | Joseph Dupuy |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1649214420 PECOS PAC ID: 5294747713 Enrollment ID: I20101110001136 |
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