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103 Stuard St Gaffney SC 29341-1263 | |
(864) 488-9500 | |
(864) 489-9200 |
Full Name | |
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Speciality | Family Medicine |
Location | 103 Stuard St, Gaffney, South Carolina |
Authorized Official Name and Position | Kenneth J Meinke (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8645606103 |
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 | 103 Stuard St Gaffney SC 29341-1263 Ph: (864) 488-9500 |
NPI Number | 1174092266 |
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Provider Enumeration Date | 11/19/2018 |
Last Update Date | 03/15/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174092266 | NPI | - | NPPES |
6084 | Other | SC | MEDICARE PIN |
GP8757 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cherokee Community Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333 | |