| Piedmont Internal Medicine At Baxter Village Llc | |
|
502 Sixth Baxter Crossing Suite A Fort Mill SC 29708 | |
| (803) 802-2424 | |
| (803) 802-3767 |
| Full Name | Piedmont Internal Medicine At Baxter Village Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 502 Sixth Baxter Crossing, Fort Mill, South Carolina |
| Authorized Official Name and Position | J. Scott Richardson (VICE PRESIDENT) |
| Authorized Official Contact | 4698936960 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Internal Medicine At Baxter Village Llc Po Box 741344 Atlanta GA 30384-1344 Ph: (803) 802-2424 | Piedmont Internal Medicine At Baxter Village Llc 502 Sixth Baxter Crossing Suite A Fort Mill SC 29708 Ph: (803) 802-2424 |
| NPI Number | 1720092505 |
|---|---|
| Provider Enumeration Date | 07/28/2006 |
| Last Update Date | 09/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720092505 | NPI | - | NPPES |
| GP4469 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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