| Direct Access MD, LLC | |
|
803 N Fant St Ste 2a Anderson SC 29621-5718 | |
| (864) 965-9150 | |
| (864) 965-9654 |
| Full Name | Direct Access MD, LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 803 N Fant St Ste 2a, Anderson, South Carolina |
| Authorized Official Name and Position | Amy R Cianciolo (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8649659150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Direct Access MD, LLC 803 N Fant St Ste 2a Anderson SC 29621-5718 Ph: (864) 965-9150 | Direct Access MD, LLC 803 N Fant St Ste 2a Anderson SC 29621-5718 Ph: (864) 965-9150 |
| NPI Number | 1740760560 |
|---|---|
| Provider Enumeration Date | 08/21/2018 |
| Last Update Date | 08/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1740760560 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
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