| |
210 Overland Drive Greenwood SC 29646 | |
(864) 227-8308 | |
(864) 227-9864 |
Full Name | |
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Speciality | Family Medicine |
Location | 210 Overland Drive, Greenwood, South Carolina |
Authorized Official Name and Position | Asa Q Hatfield (OWNER) |
Authorized Official Contact | 8642278308 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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210 Overland Drive Greenwood SC 29646 Ph: (864) 227-8308 | 210 Overland Drive Greenwood SC 29646 Ph: (864) 227-8308 |
NPI Number | 1164559035 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1164559035 | NPI | - | NPPES |
SC121807 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | SC121807 (South Carolina) | Primary |
Carolina Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Main St, Greenwood, SC 29646 Phone: 864-396-0117 Fax: 864-388-0648 | |
Hands Of Hope Children's Therapy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maxwell Ave, Greenwood, SC 29646 Phone: 864-993-3302 |