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1650 Skylyn Dr Ste 220 Spartanburg SC 29307-1069 | |
(864) 560-9056 | |
(864) 560-9057 |
Full Name | |
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Speciality | Internal Medicine |
Location | 1650 Skylyn Dr Ste 220, Spartanburg, South Carolina |
Authorized Official Name and Position | Bruce A Davis (SYSTEMS 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 | 1650 Skylyn Dr Ste 220 Spartanburg SC 29307-1069 Ph: (864) 560-9056 |
NPI Number | 1801206123 |
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Provider Enumeration Date | 05/08/2014 |
Last Update Date | 03/14/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1801206123 | NPI | - | NPPES |
5019 | Other | SC | MEDICARE PIN |
GP6478 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal 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 | |