| Medical Group Of The Carolinas - Family Medicine - Mountain Park Villa | |
|
135 Botanical Cir Travelers Rest SC 29690-7112 | |
| (864) 849-9210 | |
| Not Available |
| Full Name | Medical Group Of The Carolinas - Family Medicine - Mountain Park Villa |
|---|---|
| Speciality | Family Medicine |
| Location | 135 Botanical Cir, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CFO) |
| Authorized Official Contact | 8645606000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Medical Group Of The Carolinas - Family Medicine - Mountain Park Villa Po Box 743070 Atlanta GA 30374-3070 Ph: () - | Medical Group Of The Carolinas - Family Medicine - Mountain Park Villa 135 Botanical Cir Travelers Rest SC 29690-7112 Ph: (864) 849-9210 |
| NPI Number | 1477938777 |
|---|---|
| Provider Enumeration Date | 07/28/2015 |
| Last Update Date | 08/04/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477938777 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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