Upstate Primary Care Medicine Llc | |
810 Powdersville Rd Ste B Easley SC 29642-3704 | |
(864) 551-2764 | |
(864) 307-9322 |
Full Name | Upstate Primary Care Medicine Llc |
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Speciality | Family Medicine |
Location | 810 Powdersville Rd Ste B, Easley, South Carolina |
Authorized Official Name and Position | Heather Way (PRACTICE ADMINISTRATOR) |
Authorized Official Contact | 8433450832 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Upstate Primary Care Medicine Llc 810 Powdersville Rd Ste B Easley SC 29642-3704 Ph: (864) 551-2764 | Upstate Primary Care Medicine Llc 810 Powdersville Rd Ste B Easley SC 29642-3704 Ph: (864) 551-2764 |
NPI Number | 1275366874 |
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Provider Enumeration Date | 08/21/2024 |
Last Update Date | 08/22/2024 |
Medicare PECOS PAC ID | 9931648938 |
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Medicare Enrollment ID | O20240822000090 |
Identifier | Type | State | Issuer |
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1275366874 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Charles F Way |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1679589451 PECOS PAC ID: 7517945769 Enrollment ID: I20080417000004 |
Fleetwood Internal Medicine Pa Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 109b Fleetwood Dr, Easley, SC 29640 Phone: 864-855-1036 Fax: 864-855-3318 | |