| Premier Family Medicine | |
|
304 Ashby Park Ln Greenville SC 29607-6903 | |
| (864) 286-9050 | |
| (864) 286-6885 |
| Full Name | Premier Family Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 304 Ashby Park Ln, Greenville, South Carolina |
| Authorized Official Name and Position | Wilbur R Gay (CFO) |
| Authorized Official Contact | 8646053721 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premier Family Medicine Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 286-9050 | Premier Family Medicine 304 Ashby Park Ln Greenville SC 29607-6903 Ph: (864) 286-9050 |
| NPI Number | 1770589178 |
|---|---|
| Provider Enumeration Date | 06/22/2005 |
| Last Update Date | 07/02/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770589178 | NPI | - | NPPES |
| GP2943 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8157 (South Carolina) | Primary |
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