| Outz Medical, Llc | |
|
3150 Highway 153 Piedmont SC 29673-9498 | |
| (864) 220-0103 | |
| (864) 220-9925 |
| Full Name | Outz Medical, Llc |
|---|---|
| Speciality | General Practice |
| Location | 3150 Highway 153, Piedmont, South Carolina |
| Authorized Official Name and Position | Charles Outz (OWNER) |
| Authorized Official Contact | 8649865665 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Outz Medical, Llc Po Box 447 Easley SC 29641-0447 Ph: (864) 986-5665 | Outz Medical, Llc 3150 Highway 153 Piedmont SC 29673-9498 Ph: (864) 220-0103 |
| NPI Number | 1942669981 |
|---|---|
| Provider Enumeration Date | 02/18/2016 |
| Last Update Date | 03/28/2022 |
| Medicare PECOS PAC ID | 4981901188 |
|---|---|
| Medicare Enrollment ID | O20160404000950 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942669981 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| 261QM1300X | Clinic/center - Multi-specialty | 23843 (South Carolina) | Secondary |
| Provider Name | Charles Wendell Outz |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1962472084 PECOS PAC ID: 8325948581 Enrollment ID: I20040412000696 |
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