| |
1 Caledon Ct Ste. B Greenville SC 29615-3192 | |
(864) 250-4260 | |
(864) 250-4261 |
Full Name | |
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Speciality | Clinic/center - Multi-specialty |
Location | 1 Caledon Ct, Greenville, South Carolina |
Authorized Official Name and Position | Daniel A. Mccollum (PRESIDENT) |
Authorized Official Contact | 8648551633 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 484 Easley SC 29641-0484 Ph: (864) 855-1633 | 1 Caledon Ct Ste. B Greenville SC 29615-3192 Ph: (864) 250-4260 |
NPI Number | 1235116708 |
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Provider Enumeration Date | 12/27/2005 |
Last Update Date | 08/14/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1235116708 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (South Carolina) | Primary |
261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Secondary |
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