| Piedmont Family Practice At Tega Cay | |
|
773 Stockbridge Drive Fort Mill SC 29708 | |
| (803) 802-2424 | |
| (803) 802-3767 |
| Full Name | Piedmont Family Practice At Tega Cay |
|---|---|
| Speciality | Family Medicine |
| Location | 773 Stockbridge Drive, Fort Mill, South Carolina |
| Authorized Official Name and Position | Wesley O. James (REGIONAL CFO, TENET) |
| Authorized Official Contact | 4042655009 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Family Practice At Tega Cay 773 Stockbridge Drive Fort Mill SC 29708 Ph: (803) 802-2424 | Piedmont Family Practice At Tega Cay 773 Stockbridge Drive Fort Mill SC 29708 Ph: (803) 802-2424 |
| NPI Number | 1407863343 |
|---|---|
| Provider Enumeration Date | 08/02/2006 |
| Last Update Date | 06/23/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407863343 | NPI | - | NPPES |
| GP4723 | Medicaid | SC | |
| DO0992 | Other | SC | RAILROAD MEDICARE PTAN NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
I Med Carolinas Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 105 Stone Village Dr, Fort Mill, SC 29708 Phone: 803-543-2610 | |
Melby Medical Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1148 Wessington Manor Ln, Fort Mill, SC 29715 Phone: 757-377-7137 | |
Piedmont Express Care At Sutton Road, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 515 Rivercrossing Dr, Suite 180, Fort Mill, SC 29715 Phone: 803-578-2800 Fax: 803-578-2810 | |
Edgewater Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1162 Fort Mill Hwy, Suite A, Fort Mill, SC 29707 Phone: 803-396-7900 Fax: 803-396-2963 | |
Novant Health Fort Mill Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1690 Highway 160 W, Fort Mill, SC 29708 Phone: 803-547-7541 Fax: 803-548-0122 | |
Legacy Health And Wellness Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 127 Ben Casey Dr Ste 106, Fort Mill, SC 29708 Phone: 803-547-6800 Fax: 803-547-6801 | |
Summit Medical Carolinas Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 885 Gold Hill Rd # 253, Fort Mill, SC 29708 Phone: 720-644-9355 |