| Powdersville Health Internal Medicine | |
|
3150 Highway 153 Piedmont SC 29673-9498 | |
| (864) 568-5018 | |
| (864) 295-0095 |
| Full Name | Powdersville Health Internal Medicine |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3150 Highway 153, Piedmont, South Carolina |
| Authorized Official Name and Position | Nancy Mcneely Lollis (OFFICE MANAGER) |
| Authorized Official Contact | 8645685018 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powdersville Health Internal Medicine 3150 Highway 153 Piedmont SC 29673-9498 Ph: (864) 568-5018 | Powdersville Health Internal Medicine 3150 Highway 153 Piedmont SC 29673-9498 Ph: (864) 568-5018 |
| NPI Number | 1184083982 |
|---|---|
| Provider Enumeration Date | 02/22/2016 |
| Last Update Date | 02/22/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184083982 | NPI | - | NPPES |
| 385942 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | MD38594 (South Carolina) | Primary |
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