| Emmanuel Family Clinic | |
|
2531 Evans St Suite A Newberry SC 29108-2939 | |
| (803) 276-7978 | |
| (803) 675-0750 |
| Full Name | Emmanuel Family Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 2531 Evans St, Newberry, South Carolina |
| Authorized Official Name and Position | Jorge O Garcia (PROVIDER) |
| Authorized Official Contact | 8032767978 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Family Clinic 2531 Evans St Suite A Newberry SC 29108-2939 Ph: (803) 276-7978 | Emmanuel Family Clinic 2531 Evans St Suite A Newberry SC 29108-2939 Ph: (803) 276-7978 |
| NPI Number | 1487630554 |
|---|---|
| Provider Enumeration Date | 12/20/2005 |
| Last Update Date | 03/18/2013 |
| Medicare PECOS PAC ID | 9234158528 |
|---|---|
| Medicare Enrollment ID | O20051116000271 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487630554 | NPI | - | NPPES |
| GP3499 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Jorge O Garcia |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1619954708 PECOS PAC ID: 0941229249 Enrollment ID: I20100215000197 |
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