| |
12 Arborland Way Greenville SC 29615-2201 | |
(864) 297-6010 | |
(864) 234-9531 |
Full Name | |
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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 |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 12 Arborland Way Greenville SC 29615-2201 Ph: (864) 297-6010 |
NPI Number | 1902378656 |
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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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