Foothills Internal Medicine | |
1648 Gentry Memorial Hwy Easley SC 29640-8877 | |
(864) 855-1331 | |
(864) 855-1602 |
Full Name | Foothills Internal Medicine |
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Speciality | Internal Medicine |
Location | 1648 Gentry Memorial Hwy, Easley, South Carolina |
Authorized Official Name and Position | Brenda Waters (ADMINISTRATOR) |
Authorized Official Contact | 8648551331 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Foothills Internal Medicine 1648 Gentry Memorial Hwy Easley SC 29640-8877 Ph: (864) 855-1331 | Foothills Internal Medicine 1648 Gentry Memorial Hwy Easley SC 29640-8877 Ph: (864) 855-1331 |
NPI Number | 1982699179 |
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Provider Enumeration Date | 09/14/2005 |
Last Update Date | 09/26/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1982699179 | NPI | - | NPPES |
GP0069 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | 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 | |