Newberry Medical Associates | |
1109 Wilson St Newberry SC 29108-3443 | |
(803) 321-9105 | |
Not Available |
Full Name | Newberry Medical Associates |
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Speciality | Clinic/Center |
Location | 1109 Wilson St, Newberry, South Carolina |
Authorized Official Name and Position | Steve Lee Reeves (OWNER / OPERATOR) |
Authorized Official Contact | 8033219105 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Newberry Medical Associates 1109 Wilson St Newberry SC 29108-3443 Ph: (803) 321-9105 | Newberry Medical Associates 1109 Wilson St Newberry SC 29108-3443 Ph: (803) 321-9105 |
NPI Number | 1023357902 |
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Provider Enumeration Date | 02/12/2013 |
Last Update Date | 02/12/2013 |
Medicare PECOS PAC ID | 5799923215 |
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Medicare Enrollment ID | O20130522000686 |
Identifier | Type | State | Issuer |
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1023357902 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 33501 (South Carolina) | Primary |
Provider Name | Steve Lee Reeves |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1750673943 PECOS PAC ID: 1951549476 Enrollment ID: I20130522000710 |
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