Stoneview Internal Medicine Pa | |
727 E Main Street Suite 300 Simpsonville SC 29681-0279 | |
(864) 963-8002 | |
(864) 963-2742 |
Full Name | Stoneview Internal Medicine Pa |
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Speciality | Internal Medicine |
Location | 727 E Main Street Suite 300, Simpsonville, South Carolina |
Authorized Official Name and Position | Marcus E Blackstone (PRESIDENT) |
Authorized Official Contact | 8649638002 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Stoneview Internal Medicine Pa Po Box 279 727 E Main Street Suite 300 Simpsonville SC 29681-0279 Ph: (864) 963-8002 | Stoneview Internal Medicine Pa 727 E Main Street Suite 300 Simpsonville SC 29681-0279 Ph: (864) 963-8002 |
NPI Number | 1790845675 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 06/18/2012 |
Identifier | Type | State | Issuer |
---|---|---|---|
1790845675 | NPI | - | NPPES |
1497766588 | Other | NPI | |
1366453458 | Other | NPI | |
6P28H2 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 18747 (South Carolina) | Secondary |
207R00000X | Internal Medicine | 15537 (South Carolina) | Primary |
Fairview Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 103 Fairview Pointe Dr., Simpsonville, SC 29681 Phone: 864-967-4982 Fax: 864-967-8465 | |
Cvs Caremark Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2580 Woodruff Rd, Simpsonville, SC 29681 Phone: 864-627-7229 | |
Soraya, Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 25 Appian Cir, Simpsonville, SC 29681 Phone: 864-254-9487 Fax: 864-254-9487 |