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100 E Wood St Ste 300a Spartanburg SC 29303-3059 | |
(864) 560-6012 | |
(864) 560-6013 |
Full Name | |
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Speciality | Family Medicine - Hospice And Palliative Medicine |
Location | 100 E Wood St Ste 300a, Spartanburg, South Carolina |
Authorized Official Name and Position | Bruce A Davis (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) 560-4304 | 100 E Wood St Ste 300a Spartanburg SC 29303-3059 Ph: (864) 560-6012 |
NPI Number | 1407951221 |
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Provider Enumeration Date | 09/14/2006 |
Last Update Date | 08/05/2024 |
Identifier | Type | State | Issuer |
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1407951221 | NPI | - | NPPES |
CN1627 | Other | SC | RAILROAD MEDICARE GROUP # |
GP1118 | Medicaid | SC | |
5019 | Other | SC | MEDICARE PIN |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |