Superior Wellness | |
300 Regent Park Ct Greenville SC 29607-6547 | |
(864) 437-8930 | |
(864) 309-8004 |
Full Name | Superior Wellness |
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Speciality | Family Medicine |
Location | 300 Regent Park Ct, Greenville, South Carolina |
Authorized Official Name and Position | Michael Bell (OWNER) |
Authorized Official Contact | 8556637772 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Superior Wellness 300 Regent Park Ct Greenville SC 29607-6547 Ph: (864) 437-8930 | Superior Wellness 300 Regent Park Ct Greenville SC 29607-6547 Ph: (864) 437-8930 |
NPI Number | 1720544778 |
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Provider Enumeration Date | 02/14/2019 |
Last Update Date | 05/06/2019 |
Medicare PECOS PAC ID | 0244572998 |
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Medicare Enrollment ID | O20190429000859 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720544778 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Michael Joseph Bell |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1265430078 PECOS PAC ID: 8325018815 Enrollment ID: I20070702000449 |
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