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2755 S Highway 14 Ste 1220 Greer SC 29650-4902 | |
(864) 849-9500 | |
(864) 879-3693 |
Full Name | |
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Speciality | Family Medicine |
Location | 2755 S Highway 14 Ste 1220, Greer, South Carolina |
Authorized Official Name and Position | Bruce A Davis (SYSTEMS CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8645606000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 849-9500 | 2755 S Highway 14 Ste 1220 Greer SC 29650-4902 Ph: (864) 849-9500 |
NPI Number | 1356100390 |
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Provider Enumeration Date | 03/13/2024 |
Last Update Date | 04/08/2024 |
Identifier | Type | State | Issuer |
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1356100390 | NPI | - | NPPES |
6067 | Other | SC | MEDICARE PIN |
PG2056 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Allen E Gamble, Do, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1900 S Highway 14 Ste B, Greer, SC 29650 Phone: 864-469-3456 | |
Upstate Medical Care, P.a. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1530 S Highway 14, Greer, SC 29650 Phone: 864-530-0000 Fax: 864-530-0001 | |