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406 Memorial Drive Ext Greer SC 29651-1818 | |
(864) 877-9066 | |
(864) 848-3291 |
Full Name | |
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Speciality | Family Medicine |
Location | 406 Memorial Drive Ext, Greer, South Carolina |
Authorized Official Name and Position | Gina M Hillers (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8645604057 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 2168 Spartanburg SC 29304-2168 Ph: (864) 560-4304 | 406 Memorial Drive Ext Greer SC 29651-1818 Ph: (864) 877-9066 |
NPI Number | 1720034994 |
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Provider Enumeration Date | 05/26/2006 |
Last Update Date | 04/20/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720034994 | NPI | - | NPPES |
DA6208 | Other | SC | RAILROAD MEDICARE GROUP # |
GP2793 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Allen E Gamble, Do, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 S Highway 14 Ste B, Greer, SC 29650 Phone: 864-469-3456 | |
Upstate Medical Care, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 S Highway 14, Greer, SC 29650 Phone: 864-530-0000 Fax: 864-530-0001 | |