Foothills Family-pacolet | |
391 Glenn Springs Rd Pacolet SC 29372-2417 | |
(864) 474-3013 | |
Not Available |
Full Name | Foothills Family-pacolet |
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Speciality | Family Medicine |
Location | 391 Glenn Springs Rd, Pacolet, South Carolina |
Authorized Official Name and Position | Debbie Brewer (DIRECTOR PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657626 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foothills Family-pacolet Po Box 277827 Atlanta GA 30384-7827 Ph: (615) 465-7626 | Foothills Family-pacolet 391 Glenn Springs Rd Pacolet SC 29372-2417 Ph: (864) 474-3013 |
NPI Number | 1760627244 |
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Provider Enumeration Date | 12/11/2008 |
Last Update Date | 12/11/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760627244 | NPI | - | NPPES |
GP4782 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medical Group Of The Carolinas - Family Medicine - Pacolet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 7221 S Pine St, Pacolet, SC 29372 Phone: 864-474-1528 Fax: 864-474-1049 | |
Foothills Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-474-3013 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-703-1414 Fax: 864-703-1419 |