Glace & Norton Family Pracitice | |
2995 Reidville Rd Ste 260 Spartanburg SC 29301-5667 | |
(864) 574-2866 | |
Not Available |
Full Name | Glace & Norton Family Pracitice |
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Speciality | Family Medicine |
Location | 2995 Reidville Rd Ste 260, Spartanburg, South Carolina |
Authorized Official Name and Position | Debbie Brewer (DIRECTOR OF PROVIDER ENROLLMENT) |
Authorized Official Contact | 6154657000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Glace & Norton Family Pracitice 138 Dillon Dr Ste A Spartanburg SC 29307-1018 Ph: (864) 542-8980 | Glace & Norton Family Pracitice 2995 Reidville Rd Ste 260 Spartanburg SC 29301-5667 Ph: (864) 574-2866 |
NPI Number | 1629087754 |
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Provider Enumeration Date | 08/07/2006 |
Last Update Date | 08/14/2007 |
Identifier | Type | State | Issuer |
---|---|---|---|
1629087754 | NPI | - | NPPES |
GP1608 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
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