| Gateway Family Medicine Of Travelers Rest | |
|
406 N Poinsett Hwy Travelers Rest SC 29690-1667 | |
| (864) 834-4151 | |
| (864) 834-6145 |
| Full Name | Gateway Family Medicine Of Travelers Rest |
|---|---|
| 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 |
|---|---|
| Gateway Family Medicine Of Travelers Rest Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 834-4151 | Gateway Family Medicine Of Travelers Rest 406 N Poinsett Hwy Travelers Rest SC 29690-1667 Ph: (864) 834-4151 |
| NPI Number | 1770543100 |
|---|---|
| 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 |
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