| Eastside Medical Group | |
|
4501 Old Spartanburg Rd Taylors SC 29687-4105 | |
| (864) 268-1119 | |
| (864) 268-1714 |
| Full Name | Eastside Medical Group |
|---|---|
| Speciality | Family Medicine |
| Location | 4501 Old Spartanburg Rd, Taylors, South Carolina |
| Authorized Official Name and Position | Wilbur R Gay (CFO) |
| Authorized Official Contact | 8646053762 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Eastside Medical Group Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 268-1119 | Eastside Medical Group 4501 Old Spartanburg Rd Taylors SC 29687-4105 Ph: (864) 268-1119 |
| NPI Number | 1477621266 |
|---|---|
| Provider Enumeration Date | 12/01/2006 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477621266 | NPI | - | NPPES |
| GP4797 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 207Q00000X | Family Medicine | 149672 (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
Palmetto Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 3551a Rutherford Rd, Taylors, SC 29687 Phone: 864-268-2333 |