| Internal Medicine And Diagnostic Group | |
|
2 Innovation Dr. Suite 140 Greenville SC 29607-5263 | |
| (864) 295-1750 | |
| (864) 295-1753 |
| Full Name | Internal Medicine And Diagnostic Group |
|---|---|
| Speciality | Internal Medicine |
| Location | 2 Innovation Dr., Greenville, 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 |
|---|---|
| Internal Medicine And Diagnostic Group Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 295-1750 | Internal Medicine And Diagnostic Group 2 Innovation Dr. Suite 140 Greenville SC 29607-5263 Ph: (864) 295-1750 |
| NPI Number | 1962656892 |
|---|---|
| Provider Enumeration Date | 11/05/2008 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962656892 | NPI | - | NPPES |
| GP5049 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207R00000X | Internal Medicine | (South Carolina) | Primary |
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