| Hillcrest Family Practice | |
|
717 Se Main St Simpsonville SC 29681 | |
| (864) 963-1548 | |
| (864) 963-3381 |
| Full Name | Hillcrest Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 717 Se Main St, Simpsonville, South Carolina |
| Authorized Official Name and Position | Cheryl M Fairley (VICE PRES-NETWORK OP) |
| Authorized Official Contact | 8646053721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hillcrest Family Practice Po Box 25039 Greenville SC 29616-0039 Ph: (864) 963-1548 | Hillcrest Family Practice 717 Se Main St Simpsonville SC 29681 Ph: (864) 963-1548 |
| NPI Number | 1477700805 |
|---|---|
| Provider Enumeration Date | 08/27/2008 |
| Last Update Date | 05/21/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477700805 | NPI | - | NPPES |
| GP1382 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Secondary |
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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