| Pelham Family Practice Llc | |
|
25 Creekview Ct Greenville SC 29615-4800 | |
| (864) 297-7900 | |
| (864) 458-8841 |
| Full Name | Pelham Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 25 Creekview Ct, Greenville, South Carolina |
| Authorized Official Name and Position | Lyn H Hammond (PRESIDENT) |
| Authorized Official Contact | 8642977900 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Pelham Family Practice Llc 25 Creekview Ct Greenville SC 29615-4800 Ph: (864) 297-7900 | Pelham Family Practice Llc 25 Creekview Ct Greenville SC 29615-4800 Ph: (864) 297-7900 |
| NPI Number | 1891773115 |
|---|---|
| Provider Enumeration Date | 01/06/2006 |
| Last Update Date | 01/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891773115 | NPI | - | NPPES |
| GP2355 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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