| Upstate Family Medicine Llc | |
|
1517 N Fant St Anderson SC 29621-4707 | |
| (864) 226-1899 | |
| (864) 226-5847 |
| Full Name | Upstate Family Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1517 N Fant St, Anderson, South Carolina |
| Authorized Official Name and Position | Kyle Nelson (DO) |
| Authorized Official Contact | 8642261899 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Family Medicine Llc 1517 N Fant St Anderson SC 29621-4707 Ph: (864) 226-1899 | Upstate Family Medicine Llc 1517 N Fant St Anderson SC 29621-4707 Ph: (864) 226-1899 |
| NPI Number | 1053361758 |
|---|---|
| Provider Enumeration Date | 05/11/2006 |
| Last Update Date | 03/14/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053361758 | NPI | - | NPPES |
| GP3691 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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