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2995 Reidville Rd Ste 210 Spartanburg SC 29301-5631 | |
(864) 587-1962 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 2995 Reidville Rd Ste 210, Spartanburg, South Carolina |
Authorized Official Name and Position | Rebecca Hurley (SR VP) |
Authorized Official Contact | 2144733993 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 406757 Atlanta GA 30384-6757 Ph: (864) 253-8080 | 2995 Reidville Rd Ste 210 Spartanburg SC 29301-5631 Ph: (864) 587-1962 |
NPI Number | 1316955784 |
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Provider Enumeration Date | 08/03/2006 |
Last Update Date | 06/25/2008 |
Identifier | Type | State | Issuer |
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1316955784 | NPI | - | NPPES |
GP1611 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | (* (Not Available)) | Primary |
332B00000X | Durable Medical Equipment & Medical Supplies | (* (Not Available)) | Secondary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |