| Medical Group Of The Carolinas - Family Medicine - Pacolet | |
|
7221 S Pine St Pacolet SC 29372-3122 | |
| (864) 474-1528 | |
| (864) 474-1049 |
| Full Name | Medical Group Of The Carolinas - Family Medicine - Pacolet |
|---|---|
| Speciality | Family Medicine |
| Location | 7221 S Pine St, Pacolet, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANICAL OFFICER) |
| 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 - Pacolet Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Family Medicine - Pacolet 7221 S Pine St Pacolet SC 29372-3122 Ph: (864) 474-1528 |
| NPI Number | 1093753071 |
|---|---|
| Provider Enumeration Date | 06/03/2006 |
| Last Update Date | 12/09/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093753071 | NPI | - | NPPES |
| CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
| GP1118 | Medicaid | SC | |
| GP5709 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Foothills Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-474-3013 | |
Foothills Family-pacolet Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-474-3013 | |
Mary Black Physicians Group, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 391 Glenn Springs Rd, Pacolet, SC 29372 Phone: 864-703-1414 Fax: 864-703-1419 |