Full Name | |
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Speciality | Family Medicine |
Location | 106 John St, Easley, South Carolina |
Authorized Official Name and Position | Kristi Ann Lawrence (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 8645228611 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: () - | 106 John St Easley SC 29640-1415 Ph: (864) 859-2220 |
NPI Number | 1295218642 |
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Provider Enumeration Date | 09/12/2018 |
Last Update Date | 05/07/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1295218642 | NPI | - | NPPES |
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 | |