Full Name | |
---|---|
Speciality | General Acute Care Hospital |
Location | 1807a E Main St, Easley, South Carolina |
Authorized Official Name and Position | Polly H. Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
Authorized Official Contact | 8645222286 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: (864) 522-8613 | 1807a E Main St Easley SC 29640 Ph: (864) 442-7482 |
NPI Number | 1669951364 |
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Provider Enumeration Date | 08/13/2018 |
Last Update Date | 06/26/2023 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669951364 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Secondary |
282N00000X | General Acute Care Hospital | (* (Not Available)) | Primary |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |