Upstate Endoscopy | |
1922b Mcconnell Springs Rd Anderson SC 29621-2642 | |
(864) 716-6555 | |
(864) 716-6599 |
Full Name | Upstate Endoscopy |
---|---|
Speciality | Clinic/Center |
Location | 1922b Mcconnell Springs Rd, Anderson, South Carolina |
Authorized Official Name and Position | David Wortham (MD) |
Authorized Official Contact | 8647166555 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Upstate Endoscopy 1922b Mcconnell Springs Rd Anderson SC 29621-2642 Ph: (864) 716-6555 | Upstate Endoscopy 1922b Mcconnell Springs Rd Anderson SC 29621-2642 Ph: (864) 716-6555 |
NPI Number | 1881645810 |
---|---|
Provider Enumeration Date | 05/15/2006 |
Last Update Date | 05/21/2015 |
Medicare PECOS PAC ID | 8729065271 |
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Medicare Enrollment ID | O20040701001336 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881645810 | NPI | - | NPPES |
ASC055 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
261QE0800X | Clinic/center - Endoscopy | (* (Not Available)) | Primary |
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