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717 Se Main St Simpsonville SC 29681-3237 | |
(864) 963-1548 | |
Not Available |
Full Name | |
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Speciality | Family Medicine |
Location | 717 Se Main St, Simpsonville, South Carolina |
Authorized Official Name and Position | Michael C Riordan (PRESIDENT/CEO) |
Authorized Official Contact | 8647977808 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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1 Independence Pt Suite 212 Greenville SC 29615-4545 Ph: (864) 797-6044 | 717 Se Main St Simpsonville SC 29681-3237 Ph: (864) 963-1548 |
NPI Number | 1821460395 |
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Provider Enumeration Date | 10/23/2015 |
Last Update Date | 10/23/2015 |
Identifier | Type | State | Issuer |
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1821460395 | NPI | - | NPPES |
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