| Eastside Medical Associates | |
|
120 Heywood Ave Suite 200 Spartanburg SC 29302-1210 | |
| (864) 560-3800 | |
| (864) 560-4413 |
| Full Name | Eastside Medical Associates |
|---|---|
| Speciality | Family Medicine |
| Location | 120 Heywood Ave, Spartanburg, South Carolina |
| Authorized Official Name and Position | Gina Michelle Hillers (CREDENTIALING SPECIALIST) |
| Authorized Official Contact | 8645604057 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Medical Associates Po Box 2168 Spartanburg SC 29304 Ph: (864) 560-4304 | Eastside Medical Associates 120 Heywood Ave Suite 200 Spartanburg SC 29302-1210 Ph: (864) 560-3800 |
| NPI Number | 1942241781 |
|---|---|
| Provider Enumeration Date | 06/10/2006 |
| Last Update Date | 04/20/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942241781 | NPI | - | NPPES |
| GP1118 | Medicaid | SC | |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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