Grace Internal Medicine Llc | |
114b Hospital Dr Simpsonville SC 29681-3226 | |
(803) 757-5177 | |
(803) 757-5178 |
Full Name | Grace Internal Medicine Llc |
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Speciality | Internal Medicine |
Location | 114b Hospital Dr, Simpsonville, South Carolina |
Authorized Official Name and Position | Leon Buffaloe (PRESIDENT) |
Authorized Official Contact | 8643608802 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Grace Internal Medicine Llc 114b Hospital Dr Simpsonville SC 29681-3226 Ph: (864) 757-5177 | Grace Internal Medicine Llc 114b Hospital Dr Simpsonville SC 29681-3226 Ph: (803) 757-5177 |
NPI Number | 1962120071 |
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Provider Enumeration Date | 08/16/2022 |
Last Update Date | 09/24/2024 |
Medicare PECOS PAC ID | 8224560420 |
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Medicare Enrollment ID | O20241014000096 |
Identifier | Type | State | Issuer |
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1962120071 | NPI | - | NPPES |
Provider Name | Leon Buffaloe |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1366603391 PECOS PAC ID: 8820269277 Enrollment ID: I20150113000265 |
Provider Name | Victoria Talley |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1447833280 PECOS PAC ID: 8921484296 Enrollment ID: I20240906002543 |
Fairview Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Fairview Pointe Dr., Simpsonville, SC 29681 Phone: 864-967-4982 Fax: 864-967-8465 | |
Cvs Caremark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2580 Woodruff Rd, Simpsonville, SC 29681 Phone: 864-627-7229 | |
Soraya, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Appian Cir, Simpsonville, SC 29681 Phone: 864-254-9487 Fax: 864-254-9487 |