| |
1612 Rivers St Greenwood SC 29649-8513 | |
(304) 429-1088 | |
Not Available |
Full Name | |
---|---|
Speciality | Family Medicine |
Location | 1612 Rivers St, Greenwood, South Carolina |
Authorized Official Name and Position | Brandi Hatfield (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 3044291088 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 390 Huntington WV 25708-0390 Ph: () - | 1612 Rivers St Greenwood SC 29649-8513 Ph: (304) 429-1088 |
NPI Number | 1326534371 |
---|---|
Provider Enumeration Date | 07/02/2018 |
Last Update Date | 07/02/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1326534371 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (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 |