| Blue Ridge Pediatrics Llc | |
|
457 B Hwy 123 Bypass Seneca SC 29678 | |
| (864) 888-4464 | |
| (864) 888-4462 |
| Full Name | Blue Ridge Pediatrics Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 457 B Hwy 123 Bypass, Seneca, South Carolina |
| Authorized Official Name and Position | Carey Molin Gully (OWNER) |
| Authorized Official Contact | 8648884464 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Blue Ridge Pediatrics Llc 457-b Hwy 123 Bypass Seneca SC 29678-0947 Ph: (864) 888-4464 | Blue Ridge Pediatrics Llc 457 B Hwy 123 Bypass Seneca SC 29678 Ph: (864) 888-4464 |
| NPI Number | 1154450757 |
|---|---|
| Provider Enumeration Date | 03/02/2007 |
| Last Update Date | 06/30/2009 |
| Medicare PECOS PAC ID | 6709927486 |
|---|---|
| Medicare Enrollment ID | O20091231000362 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154450757 | NPI | - | NPPES |
| RHC 100 | Other | SC | RURAL HEALTH CLINIC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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Beyond Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15885 Wells Hwy, Seneca, SC 29678 Phone: 864-860-8424 | |
Oconee G.i. Clinic Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 12 Boardwalk Pl, Suite 1a, Seneca, SC 29678 Phone: 864-882-5933 | |
Clemson-seneca Pediatrics Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 207 Main Street, Seneca, SC 29678 Phone: 864-888-4222 Fax: 864-888-0023 | |
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