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2995 Reidville Rd Ste 210 Spartanburg SC 29301-5631 | |
(864) 253-8140 | |
(864) 587-0051 |
Full Name | |
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Speciality | Family Medicine |
Location | 2995 Reidville Rd Ste 210, Spartanburg, South Carolina |
Authorized Official Name and Position | Bruce A Davis (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8645606000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 2995 Reidville Rd Ste 210 Spartanburg SC 29301-5631 Ph: (864) 253-8140 |
NPI Number | 1801365994 |
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Provider Enumeration Date | 11/19/2018 |
Last Update Date | 08/27/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801365994 | NPI | - | NPPES |
5019 | Other | SC | MEDICARE PIN |
GP8755 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |