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5 South Lewis Plaza Greenville SC 29605 | |
| (864) 242-4122 | |
| (877) 893-3769 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 5 South Lewis Plaza, Greenville, South Carolina |
| Authorized Official Name and Position | Wilbur Gay (CFO) |
| Authorized Official Contact | 8642551904 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
Po Box 743294 Atlanta GA 30374-3294 Ph: (864) 242-4122 | 5 South Lewis Plaza Greenville SC 29605 Ph: (864) 242-4122 |
| NPI Number | 1700013216 |
|---|---|
| Provider Enumeration Date | 06/11/2009 |
| Last Update Date | 06/28/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700013216 | NPI | - | NPPES |
| GP5272 | Medicaid | SC |
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