| |
2 Innovation Dr Ste 300a Greenville SC 29607-5268 | |
(864) 365-0123 | |
(864) 365-0133 |
Full Name | |
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Speciality | Internal Medicine |
Location | 2 Innovation Dr Ste 300a, Greenville, South Carolina |
Authorized Official Name and Position | Wilbur R Gay (VICE PRESIDENT OF FINANCE-BSMG) |
Authorized Official Contact | 8646053762 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 365-0123 | 2 Innovation Dr Ste 300a Greenville SC 29607-5268 Ph: (864) 365-0123 |
NPI Number | 1518285691 |
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Provider Enumeration Date | 05/13/2010 |
Last Update Date | 05/23/2019 |
Identifier | Type | State | Issuer |
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1518285691 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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