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700 Brushy Creek Rd Easley SC 29642-2200 | |
(864) 306-9661 | |
(864) 306-8560 |
Full Name | |
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Speciality | Family Medicine |
Location | 700 Brushy Creek Rd, Easley, 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 |
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Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 306-9661 | 700 Brushy Creek Rd Easley SC 29642-2200 Ph: (864) 306-9661 |
NPI Number | 1003044397 |
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Provider Enumeration Date | 06/25/2009 |
Last Update Date | 07/02/2019 |
Identifier | Type | State | Issuer |
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1003044397 | NPI | - | NPPES |
GP5271 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (South Carolina) | 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 | |