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1338 Highway 14 Simpsonville SC 29681-5637 | |
(864) 297-7091 | |
(877) 379-3079 |
Full Name | |
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Speciality | Family Medicine |
Location | 1338 Highway 14, Simpsonville, South Carolina |
Authorized Official Name and Position | Wilbur R Gay (CFO) |
Authorized Official Contact | 8646053762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 297-7091 | 1338 Highway 14 Simpsonville SC 29681-5637 Ph: (864) 297-7091 |
NPI Number | 1306828587 |
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Provider Enumeration Date | 11/15/2005 |
Last Update Date | 08/22/2019 |
Identifier | Type | State | Issuer |
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1306828587 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (South Carolina) | Primary |
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