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1785 New Cut Rd Spartanburg SC 29303 | |
(864) 599-3050 | |
(864) 599-3051 |
Full Name | |
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Speciality | General Practice |
Location | 1785 New Cut Rd, Spartanburg, South Carolina |
Authorized Official Name and Position | Brett Gall (DIRECTOR PAYOR CONTRACTING) |
Authorized Official Contact | 3042252500 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1001 Consol Energy Dr Canonsburg PA 15317-6506 Ph: (304) 225-2500 | 1785 New Cut Rd Spartanburg SC 29303 Ph: (864) 599-3050 |
NPI Number | 1083108260 |
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Provider Enumeration Date | 06/20/2018 |
Last Update Date | 07/02/2018 |
Identifier | Type | State | Issuer |
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1083108260 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
208D00000X | General Practice | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |