| Heritage Pediatrics & Internal Medicine Wren | |
|
1115 Wren School Rd Piedmont SC 29673-8033 | |
| (864) 859-0740 | |
| (864) 859-9008 |
| Full Name | Heritage Pediatrics & Internal Medicine Wren |
|---|---|
| Speciality | Pediatrics |
| Location | 1115 Wren School Rd, Piedmont, South Carolina |
| Authorized Official Name and Position | James Larry Pope (FINANCE DIRECTOR/CFO) |
| Authorized Official Contact | 8645527610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heritage Pediatrics & Internal Medicine Wren 1 Independence Pt Suite 212 Greenville SC 29615-4545 Ph: (864) 797-6044 | Heritage Pediatrics & Internal Medicine Wren 1115 Wren School Rd Piedmont SC 29673-8033 Ph: (864) 859-0740 |
| NPI Number | 1427481274 |
|---|---|
| Provider Enumeration Date | 08/15/2013 |
| Last Update Date | 08/15/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427481274 | NPI | - | NPPES |
| GP5967 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 208000000X | Pediatrics | (* (Not Available)) | Primary |
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