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3516 Highway 153 Greenville SC 29611-7553 | |
(864) 729-6626 | |
(855) 617-4425 |
Full Name | |
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Speciality | Internal Medicine |
Location | 3516 Highway 153, Greenville, South Carolina |
Authorized Official Name and Position | Angie Martinez (SENIOR CREDENTIALING PROFESSIONAL) |
Authorized Official Contact | 4074477120 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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6101 Blue Lagoon Dr Ste 200 Miami FL 33126-3168 Ph: (305) 500-2000 | 3516 Highway 153 Greenville SC 29611-7553 Ph: (864) 729-6626 |
NPI Number | 1841644580 |
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Provider Enumeration Date | 04/19/2016 |
Last Update Date | 08/19/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841644580 | NPI | - | NPPES |
L064 | Other | SC | MEDICARE |
GP7379 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
208D00000X | General Practice | (* (Not Available)) | Secondary |
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