| Medical Group Of The Carolinas- Immediate Care Center-pelham | |
|
3611 Pelham Rd Greenville SC 29615-5002 | |
| (864) 560-3500 | |
| (864) 560-3525 |
| Full Name | Medical Group Of The Carolinas- Immediate Care Center-pelham |
|---|---|
| Speciality | Family Medicine |
| Location | 3611 Pelham Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Kenneth Meinke (CHIEF FINANCIAL 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- Immediate Care Center-pelham Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas- Immediate Care Center-pelham 3611 Pelham Rd Greenville SC 29615-5002 Ph: (864) 560-3500 |
| NPI Number | 1861851446 |
|---|---|
| Provider Enumeration Date | 02/11/2016 |
| Last Update Date | 04/12/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861851446 | NPI | - | NPPES |
| GP7221 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
| 363LF0000X | Nurse Practitioner - Family | (South Carolina) | Secondary |
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