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1630 Skylyn Drive Suite 420 Spartanburg SC 29307 | |
(904) 446-3825 | |
Not Available |
Full Name | |
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Speciality | Clinic/center |
Location | 1630 Skylyn Drive, Spartanburg, South Carolina |
Authorized Official Name and Position | Frank Williams (CEO) |
Authorized Official Contact | 9044463519 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 638509 Cincinnati OH 45263-8509 Ph: () - | 1630 Skylyn Drive Suite 420 Spartanburg SC 29307 Ph: (904) 446-3825 |
NPI Number | 1023677945 |
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Provider Enumeration Date | 06/13/2019 |
Last Update Date | 06/01/2023 |
Identifier | Type | State | Issuer |
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1023677945 | NPI | - | NPPES |
GP7200 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Academic Primary Care Associates Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 410 Magnolia St, Spartanburg, SC 29303 Phone: 540-443-7180 | |