| Medical Group Of The Carolinas - Milestone Family Medicine | |
|
12 Arborland Way Greenville SC 29615-2201 | |
| (864) 297-6010 | |
| (864) 234-9531 |
| Full Name | Medical Group Of The Carolinas - Milestone Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 12 Arborland Way, Greenville, 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 |
|---|---|
| Medical Group Of The Carolinas - Milestone Family Medicine Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | Medical Group Of The Carolinas - Milestone Family Medicine 12 Arborland Way Greenville SC 29615-2201 Ph: (864) 297-6010 |
| NPI Number | 1902378656 |
|---|---|
| Provider Enumeration Date | 12/19/2018 |
| Last Update Date | 03/21/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902378656 | NPI | - | NPPES |
| 5193 | Other | SC | MEDICARE PIN |
| GP8782 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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