| Peachview Medical Ctr | |
|
722 Hyatt St Suite C Gaffney SC 29341-2643 | |
| (864) 591-0745 | |
| Not Available |
| Full Name | Peachview Medical Ctr |
|---|---|
| Speciality | Family Medicine |
| Location | 722 Hyatt St, Gaffney, South Carolina |
| Authorized Official Name and Position | Debbie Brewer (DIRECTOR PROVIDER ENROLLMENT) |
| Authorized Official Contact | 6154657626 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Peachview Medical Ctr Po Box 277827 Atlanta GA 30384-7827 Ph: (864) 253-8080 | Peachview Medical Ctr 722 Hyatt St Suite C Gaffney SC 29341-2643 Ph: (864) 591-0745 |
| NPI Number | 1598900078 |
|---|---|
| Provider Enumeration Date | 12/11/2008 |
| Last Update Date | 12/11/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598900078 | NPI | - | NPPES |
| GP4770 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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