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722 Hyatt St Suite B Gaffney SC 29341-2643 | |
(864) 488-1400 | |
(864) 488-1057 |
Full Name | |
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Speciality | Family Medicine |
Location | 722 Hyatt St, Gaffney, South Carolina |
Authorized Official Name and Position | Geoffrey K. Gardner (VP OF FINANCE) |
Authorized Official Contact | 7043849094 |
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) 488-1400 | 722 Hyatt St Suite B Gaffney SC 29341-2643 Ph: (864) 488-1400 |
NPI Number | 1982841243 |
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Provider Enumeration Date | 01/08/2009 |
Last Update Date | 05/31/2013 |
Identifier | Type | State | Issuer |
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1982841243 | NPI | - | NPPES |
GP5091 | 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 | |