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103 Stuard St Gaffney SC 29341-1263 | |
(864) 488-9500 | |
(868) 489-9200 |
Full Name | |
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Speciality | Family Medicine |
Location | 103 Stuard St, Gaffney, South Carolina |
Authorized Official Name and Position | Geoffrey Gardner (VP FINANCE) |
Authorized Official Contact | 8644889500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 60447 Charlotte NC 28260-0447 Ph: (864) 488-9500 | 103 Stuard St Gaffney SC 29341-1263 Ph: (864) 488-9500 |
NPI Number | 1235410457 |
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Provider Enumeration Date | 09/01/2011 |
Last Update Date | 08/28/2013 |
Identifier | Type | State | Issuer |
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1235410457 | NPI | - | NPPES |
GP5767 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cherokee Community Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333 | |