| |
160 Academy Ave Greenwood SC 29646-3808 | |
(864) 223-8090 | |
Not Available |
Full Name | |
---|---|
Speciality | Internal Medicine - Gastroenterology |
Location | 160 Academy Ave, Greenwood, South Carolina |
Authorized Official Name and Position | Matthew Tolbert Logan (CEO) |
Authorized Official Contact | 8647254780 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
75 Remittance Dr Dept 6764 Chicago IL 60675-6764 Ph: (864) 725-7491 | 160 Academy Ave Greenwood SC 29646-3808 Ph: (864) 223-8090 |
NPI Number | 1841047560 |
---|---|
Provider Enumeration Date | 05/01/2024 |
Last Update Date | 05/22/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1841047560 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
Carolina Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 313 Main St, Greenwood, SC 29646 Phone: 864-396-0117 Fax: 864-388-0648 | |
Hands Of Hope Children's Therapy Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 104 Maxwell Ave, Greenwood, SC 29646 Phone: 864-993-3302 |