| Choice Md Health And Wellness, Llc | |
|
58 Bear Dr Greenville SC 29605-4458 | |
| (914) 646-4393 | |
| (864) 469-2439 |
| Full Name | Choice Md Health And Wellness, Llc |
|---|---|
| Speciality | General Practice |
| Location | 58 Bear Dr, Greenville, South Carolina |
| Authorized Official Name and Position | Mincs Calixte (PRACTICE OWNER) |
| Authorized Official Contact | 9146464393 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Choice Md Health And Wellness, Llc 16 Galway Dr Greer SC 29650-0980 Ph: (914) 646-4393 | Choice Md Health And Wellness, Llc 58 Bear Dr Greenville SC 29605-4458 Ph: (914) 646-4393 |
| NPI Number | 1174141030 |
|---|---|
| Provider Enumeration Date | 07/08/2020 |
| Last Update Date | 07/08/2020 |
| Medicare PECOS PAC ID | 3870900830 |
|---|---|
| Medicare Enrollment ID | O20210401000053 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174141030 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Primary |
| Provider Name | Marie E Calixte |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1669613501 PECOS PAC ID: 0244530889 Enrollment ID: I20151203001248 |
| Provider Name | Mincs Calixte |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1215990338 PECOS PAC ID: 5092724542 Enrollment ID: I20210318002759 |
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