| Upstate Family Medicine Pa | |
|
109 Omni Dr Suite B Seneca SC 29672-9448 | |
| (864) 882-6141 | |
| (864) 882-6680 |
| Full Name | Upstate Family Medicine Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 109 Omni Dr, Seneca, South Carolina |
| Authorized Official Name and Position | Randall K Colvin (OWNER) |
| Authorized Official Contact | 8648826141 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Family Medicine Pa 109 Omni Dr Suite B Seneca SC 29672-9448 Ph: (864) 882-6141 | Upstate Family Medicine Pa 109 Omni Dr Suite B Seneca SC 29672-9448 Ph: (864) 882-6141 |
| NPI Number | 1831140540 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831140540 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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