| Winchester Family Medicine | |
|
10 Winchester Ct Mauldin SC 29662-2627 | |
| (864) 458-9999 | |
| (864) 234-7652 |
| Full Name | Winchester Family Medicine |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 10 Winchester Ct, Mauldin, South Carolina |
| Authorized Official Name and Position | Russell G. Gaddy (DR) |
| Authorized Official Contact | 8644589999 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Winchester Family Medicine 10 Winchester Ct Mauldin SC 29662-2627 Ph: (864) 458-9999 | Winchester Family Medicine 10 Winchester Ct Mauldin SC 29662-2627 Ph: (864) 458-9999 |
| NPI Number | 1417146127 |
|---|---|
| Provider Enumeration Date | 10/18/2007 |
| Last Update Date | 01/07/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417146127 | NPI | - | NPPES |
| CM7824 | Other | SC | MEDICARE RAILROAD |
| 207QG0300X | Other | SC | TAXONOMY CODE |
| 007870 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 007870 (South Carolina) | Primary |
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