Oaktree Medical Centre, Pc | |
115 Brushy Creek Rd Easley SC 29642-1120 | |
(864) 855-1633 | |
(864) 855-1323 |
Full Name | Oaktree Medical Centre, Pc |
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Speciality | Clinic/center |
Location | 115 Brushy Creek Rd, Easley, South Carolina |
Authorized Official Name and Position | Daniel A. Mccollum (PRESIDENT) |
Authorized Official Contact | 8648551633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Oaktree Medical Centre, Pc Po Box 484 Easley SC 29641-0484 Ph: (864) 855-1633 | Oaktree Medical Centre, Pc 115 Brushy Creek Rd Easley SC 29642-1120 Ph: (864) 855-1633 |
NPI Number | 1154308617 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 12/29/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1154308617 | NPI | - | NPPES |
GP2763 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |