Pendleton Medical Clinic | |
220 E Main St Pendleton SC 29670-1308 | |
(864) 646-3269 | |
(864) 646-3511 |
Full Name | Pendleton Medical Clinic |
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Speciality | Family Medicine |
Location | 220 E Main St, Pendleton, South Carolina |
Authorized Official Name and Position | Herbert Press Cooper (OWNER) |
Authorized Official Contact | 8646463269 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Pendleton Medical Clinic 220 E Main St Pendleton SC 29670-1308 Ph: (864) 646-3269 | Pendleton Medical Clinic 220 E Main St Pendleton SC 29670-1308 Ph: (864) 646-3269 |
NPI Number | 1902096191 |
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Provider Enumeration Date | 07/25/2007 |
Last Update Date | 07/25/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1902096191 | NPI | - | NPPES |
GP1690 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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