| Upstate Mobile Medicine | |
|
125 Timberlake Cir Inman SC 29349-9659 | |
| (864) 494-0999 | |
| (868) 752-0951 |
| Full Name | Upstate Mobile Medicine |
|---|---|
| Speciality | Family Medicine |
| Location | 125 Timberlake Cir, Inman, South Carolina |
| Authorized Official Name and Position | Mark Andrew Martin (PHYSICIAN) |
| Authorized Official Contact | 8644940999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Mobile Medicine 125 Timberlake Cir Inman SC 29349-9659 Ph: (864) 494-0999 | Upstate Mobile Medicine 125 Timberlake Cir Inman SC 29349-9659 Ph: (864) 494-0999 |
| NPI Number | 1407904162 |
|---|---|
| Provider Enumeration Date | 01/08/2007 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407904162 | NPI | - | NPPES |
| GP4214 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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