| Medexpress Primary Care South Carolina, P.c. | |
|
955 Boscobel Rd Anderson SC 29625-6704 | |
| (864) 375-0893 | |
| (864) 375-0894 |
| Full Name | Medexpress Primary Care South Carolina, P.c. |
|---|---|
| Speciality | General Practice |
| Location | 955 Boscobel Rd, Anderson, South Carolina |
| Authorized Official Name and Position | Brett Gall (DIRECTOR PAYOR CONTRACTING) |
| Authorized Official Contact | 3042252500 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medexpress Primary Care South Carolina, P.c. 1001 Consol Energy Dr Canonsburg PA 15317-6506 Ph: (304) 225-2500 | Medexpress Primary Care South Carolina, P.c. 955 Boscobel Rd Anderson SC 29625-6704 Ph: (864) 375-0893 |
| NPI Number | 1902364680 |
|---|---|
| Provider Enumeration Date | 03/12/2019 |
| Last Update Date | 03/12/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902364680 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 208D00000X | General Practice | (* (Not Available)) | Primary |
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