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139 Medical Center Drive Gaffney SC 29340-4823 | |
(864) 487-7186 | |
(864) 487-7246 |
Full Name | |
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Speciality | Internal Medicine |
Location | 139 Medical Center Drive, Gaffney, 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 |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 139 Medical Center Drive Gaffney SC 29340-4823 Ph: (864) 487-7186 |
NPI Number | 1548208648 |
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Provider Enumeration Date | 06/02/2006 |
Last Update Date | 12/09/2014 |
Identifier | Type | State | Issuer |
---|---|---|---|
1548208648 | NPI | - | NPPES |
GP1118 | Medicaid | SC | |
790231P | Medicaid | NC | |
CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
GP5630 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal 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 | |