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501b Memorial Drive Ext Greer SC 29651-1123 | |
(864) 877-4639 | |
(864) 877-4658 |
Full Name | |
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Speciality | Clinic/center |
Location | 501b Memorial Drive Ext, Greer, 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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Po Box 484 Easley SC 29641-0484 Ph: (864) 855-1633 | 501b Memorial Drive Ext Greer SC 29651-1123 Ph: (864) 877-4639 |
NPI Number | 1922085489 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 10/30/2007 |
Identifier | Type | State | Issuer |
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1922085489 | NPI | - | NPPES |
GP2763 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Allen E Gamble, Do, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 S Highway 14 Ste B, Greer, SC 29650 Phone: 864-469-3456 | |
Upstate Medical Care, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 S Highway 14, Greer, SC 29650 Phone: 864-530-0000 Fax: 864-530-0001 | |