Piedmont Care, Inc. | |
101 N Pine St Ste 200 Spartanburg SC 29302-1604 | |
(864) 582-7773 | |
(864) 582-8637 |
Full Name | Piedmont Care, Inc. |
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Speciality | Family Medicine |
Location | 101 N Pine St Ste 200, Spartanburg, South Carolina |
Authorized Official Name and Position | Tracey Jackson (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 8645827773 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Piedmont Care, Inc. 101 N Pine St Ste 200 Spartanburg SC 29302-1604 Ph: (864) 582-7773 | Piedmont Care, Inc. 101 N Pine St Ste 200 Spartanburg SC 29302-1604 Ph: (864) 582-7773 |
NPI Number | 1114403342 |
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Provider Enumeration Date | 07/11/2018 |
Last Update Date | 07/11/2018 |
Medicare PECOS PAC ID | 5597151134 |
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Medicare Enrollment ID | O20220406002473 |
Identifier | Type | State | Issuer |
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1114403342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Crystal Mullinax |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1013473107 PECOS PAC ID: 6002157609 Enrollment ID: I20190409000911 |
Provider Name | Thomas Nelson Kias |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1609848373 PECOS PAC ID: 4284716507 Enrollment ID: I20221114000325 |
Provider Name | Steve M Garman |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1245267558 PECOS PAC ID: 4082628573 Enrollment ID: I20230509000172 |
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