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111 Berry Ave Suite A Greer SC 29651-1307 | |
(864) 801-2035 | |
(864) 801-2037 |
Full Name | |
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Speciality | Clinic/Center |
Location | 111 Berry Ave, Greer, South Carolina |
Authorized Official Name and Position | J Brandon Gaffney (CEO & PRESIDENT) |
Authorized Official Contact | 8647298330 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 287 Greenville SC 29602-0287 Ph: (864) 312-6001 | 111 Berry Ave Suite A Greer SC 29651-1307 Ph: (864) 801-2035 |
NPI Number | 1053596536 |
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Provider Enumeration Date | 01/03/2008 |
Last Update Date | 10/11/2024 |
Medicare PECOS PAC ID | 8224949698 |
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Medicare Enrollment ID | O20030826000033 |
Identifier | Type | State | Issuer |
---|---|---|---|
1053596536 | NPI | - | NPPES |
FQC071 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |