| |
701 Grove Rd Greenville SC 29605-5611 | |
(864) 455-7000 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 701 Grove Rd, Greenville, South Carolina |
Authorized Official Name and Position | Michael C. Riordan (PRESIDENT / CEO) |
Authorized Official Contact | 8647977808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Independence Pt Suite 212 Greenville SC 29615-4545 Ph: (864) 797-6307 | 701 Grove Rd Greenville SC 29605-5611 Ph: (864) 455-7000 |
NPI Number | 1780760710 |
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Provider Enumeration Date | 10/31/2006 |
Last Update Date | 04/14/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1780760710 | NPI | - | NPPES |
MC0007 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (South Carolina) | Primary |
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