| S.f. Worsham Md Pa Family Practice | |
|
109 Buford Ave Anderson SC 29621 | |
| (864) 224-1316 | |
| (864) 224-5068 |
| Full Name | S.f. Worsham Md Pa Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Buford Ave, Anderson, South Carolina |
| Authorized Official Name and Position | Stephen Ford Worsham (OWNER) |
| Authorized Official Contact | 8642241316 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| S.f. Worsham Md Pa Family Practice 109 Buford Ave Anderson SC 29621 Ph: (864) 224-1316 | S.f. Worsham Md Pa Family Practice 109 Buford Ave Anderson SC 29621 Ph: (864) 224-1316 |
| NPI Number | 1619022662 |
|---|---|
| Provider Enumeration Date | 01/23/2007 |
| Last Update Date | 11/28/2007 |
| Medicare PECOS PAC ID | 6002898053 |
|---|---|
| Medicare Enrollment ID | O20040603000329 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1619022662 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 16215 (South Carolina) | Primary |
| Provider Name | Stephen F Worsham |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1750565784 PECOS PAC ID: 4082696133 Enrollment ID: I20040603000255 |
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