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101 N Pine St Suite 415 Spartanburg SC 29302-1685 | |
(864) 541-0649 | |
Not Available |
Full Name | |
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Speciality | Internal Medicine |
Location | 101 N Pine St, Spartanburg, South Carolina |
Authorized Official Name and Position | Kathy Morton (OFFICE MANAGER) |
Authorized Official Contact | 8645410649 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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101 N Pine St Suite 415 Spartanburg SC 29302-1685 Ph: (864) 541-0649 | 101 N Pine St Suite 415 Spartanburg SC 29302-1685 Ph: (864) 541-0649 |
NPI Number | 1316155112 |
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Provider Enumeration Date | 05/18/2007 |
Last Update Date | 01/07/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1316155112 | NPI | - | NPPES |
T48874 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |