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403 Hillcrest Dr Ste E Easley SC 29640-1207 | |
(864) 343-1220 | |
(864) 307-8870 |
Full Name | |
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Speciality | Clinic/center |
Location | 403 Hillcrest Dr Ste E, Easley, South Carolina |
Authorized Official Name and Position | Mark John Rajkowski (CEO) |
Authorized Official Contact | 8647220283 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 311 Clemson SC 29633-0311 Ph: (864) 722-0283 | 403 Hillcrest Dr Ste E Easley SC 29640-1207 Ph: (864) 343-1220 |
NPI Number | 1861168155 |
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Provider Enumeration Date | 08/18/2021 |
Last Update Date | 10/13/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861168155 | NPI | - | NPPES |
FQC206 | Medicaid | SC |
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 | |