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901 W Greenwood St Ste 1 Abbeville SC 29620-5717 | |
| (864) 366-9681 | |
| (864) 366-5600 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 901 W Greenwood St Ste 1, Abbeville, South Carolina |
| Authorized Official Name and Position | Mary Margaret Jackson (CHIEF COMPLIANCE OFFICER) |
| Authorized Official Contact | 8643663279 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 887 Abbeville SC 29620-0887 Ph: (864) 366-3279 | 901 W Greenwood St Ste 1 Abbeville SC 29620-5717 Ph: (864) 366-9681 |
| NPI Number | 1285618132 |
|---|---|
| Provider Enumeration Date | 12/05/2005 |
| Last Update Date | 01/06/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285618132 | NPI | - | NPPES |
| PC3126 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Pine Tree Family Practice, P. A. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Greenwood St, Building 2, Abbeville, SC 29620 Phone: 864-366-9611 Fax: 864-366-8521 | |
Abbeville County School District Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 400 Greenville St., Abbeville, SC 29620 Phone: 864-336-5427 Fax: 864-366-8531 | |
Gonzalez Internal Medicine Associates, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 901 W Greenwood St, Suite 6, Abbeville, SC 29620 Phone: 864-366-9938 Fax: 864-366-0818 | |
Ohio Valley Physicians Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 112 Whitehall St, Abbeville, SC 29620 Phone: 888-221-1826 | |