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2755 S Highway 14 Ste 2500 Greer SC 29650-4941 | |
(864) 849-9336 | |
(864) 560-4413 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2755 S Highway 14 Ste 2500, Greer, South Carolina |
Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8645606000 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 2755 S Highway 14 Ste 2500 Greer SC 29650-4941 Ph: (864) 849-9336 |
NPI Number | 1558465005 |
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Provider Enumeration Date | 09/12/2006 |
Last Update Date | 02/16/2022 |
Medicare PECOS PAC ID | 3072425297 |
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Medicare Enrollment ID | O20180523003270 |
Identifier | Type | State | Issuer |
---|---|---|---|
1558465005 | NPI | - | NPPES |
5916559 | Medicaid | NC | |
GP1118 | Medicaid | SC | |
GP6338 | Medicaid | SC | |
CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
DPE095 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RE0101X | Internal Medicine - Endocrinology, Diabetes & Metabolism | (* (Not Available)) | Primary |
Allen E Gamble, Do, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 S Highway 14 Ste B, Greer, SC 29650 Phone: 864-469-3456 | |
Upstate Medical Care, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 S Highway 14, Greer, SC 29650 Phone: 864-530-0000 Fax: 864-530-0001 | |