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1023 Creekside Medical Drive York SC 29745-1661 | |
(803) 684-3738 | |
(803) 684-3808 |
Full Name | |
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Speciality | Family Medicine |
Location | 1023 Creekside Medical Drive, York, South Carolina |
Authorized Official Name and Position | Geoffrey K Gardner (VP OF FINANCE) |
Authorized Official Contact | 8036843738 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1023 Creekside Medical Drive York SC 29745-1661 Ph: (803) 684-3738 | 1023 Creekside Medical Drive York SC 29745-1661 Ph: (803) 684-3738 |
NPI Number | 1922060557 |
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Provider Enumeration Date | 04/06/2006 |
Last Update Date | 06/27/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922060557 | NPI | - | NPPES |
GP4323 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Tri-county Pediatrics Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 815 E Liberty St, York, SC 29745 Phone: 803-329-2700 | |
Pmc Physician Network, L.l.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1795 Devinney Rd, York, SC 29745 Phone: 803-818-5995 Fax: 803-818-5985 | |