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722 Hyatt St Suite C Gaffney SC 29341-2643 | |
(864) 591-0745 | |
Not Available |
Full Name | |
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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 |
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Po Box 277827 Atlanta GA 30384-7827 Ph: (864) 253-8080 | 722 Hyatt St Suite C Gaffney SC 29341-2643 Ph: (864) 591-0745 |
NPI Number | 1598900078 |
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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 |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cherokee Community Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333 | |