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385 Serpentine Dr Suite B Spartanburg SC 29303-3018 | |
(864) 560-7079 | |
(864) 560-7082 |
Full Name | |
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Speciality | Internal Medicine |
Location | 385 Serpentine Dr, Spartanburg, South Carolina |
Authorized Official Name and Position | Victoria Babushkina (OWNER) |
Authorized Official Contact | 8645607079 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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385 Serpentine Dr Suite B Spartanburg SC 29303-3018 Ph: (864) 560-7079 | 385 Serpentine Dr Suite B Spartanburg SC 29303-3018 Ph: (864) 560-7079 |
NPI Number | 1205882891 |
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Provider Enumeration Date | 05/25/2006 |
Last Update Date | 08/22/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1205882891 | NPI | - | NPPES |
GP3201 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
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207R00000X | Internal Medicine | 21033 (South Carolina) | 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 | |