| Powdersville Internal Medicine | |
|
100 Powers Blvd. Piedmont SC 29673-2158 | |
| (864) 220-0103 | |
| (864) 220-9925 |
| Full Name | Powdersville Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 100 Powers Blvd., Piedmont, South Carolina |
| Authorized Official Name and Position | Horace E Walpole (PRESIDENT) |
| Authorized Official Contact | 8642200103 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powdersville Internal Medicine Po Box 51158 Piedmont SC 29673-2158 Ph: (864) 220-0103 | Powdersville Internal Medicine 100 Powers Blvd. Piedmont SC 29673-2158 Ph: (864) 220-0103 |
| NPI Number | 1881660421 |
|---|---|
| Provider Enumeration Date | 02/24/2006 |
| Last Update Date | 03/13/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881660421 | NPI | - | NPPES |
| 201124 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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