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101 Richard St Easley SC 29640-1440 | |
(864) 859-4480 | |
(864) 859-3750 |
Full Name | |
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Speciality | Internal Medicine |
Location | 101 Richard St, Easley, South Carolina |
Authorized Official Name and Position | Beth Henderson (OFFICE MANAGER) |
Authorized Official Contact | 8648594480 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 Richard St Easley SC 29640-1440 Ph: (864) 859-4480 | 101 Richard St Easley SC 29640-1440 Ph: (864) 859-4480 |
NPI Number | 1275564007 |
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Provider Enumeration Date | 07/06/2006 |
Last Update Date | 11/18/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275564007 | NPI | - | NPPES |
GP3686 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |