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406 N Poinsett Hwy Travelers Rest SC 29690-1667 | |
(864) 834-4151 | |
(864) 834-6145 |
Full Name | |
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Speciality | Family Medicine |
Location | 406 N Poinsett Hwy, Travelers Rest, 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) 834-4151 | 406 N Poinsett Hwy Travelers Rest SC 29690-1667 Ph: (864) 834-4151 |
NPI Number | 1770543100 |
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Provider Enumeration Date | 03/28/2006 |
Last Update Date | 07/02/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1770543100 | NPI | - | NPPES |
GP2984 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (South Carolina) | Primary |
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
Preserve Health, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Botanical Circle, Travelers Rest, SC 29690 Phone: 864-836-5322 Fax: 864-371-1812 | |
T. Daniel Caddell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 North Main Street, Travelers Rest, SC 29690 Phone: 864-834-4191 Fax: 864-834-1964 | |