| Dr. Vasant L. Garde | |
|
120 Louie Street Wagener SC 29164 | |
| (803) 564-8803 | |
| (803) 564-8804 |
| Full Name | Dr. Vasant L. Garde |
|---|---|
| Speciality | Clinic/center - Rural Health |
| Location | 120 Louie Street, Wagener, South Carolina |
| Authorized Official Name and Position | Vasant L Garde (OWNER) |
| Authorized Official Contact | 8035648803 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. Vasant L. Garde 408 Two Notch Rd Lexington SC 29073-8827 Ph: (803) 356-2262 | Dr. Vasant L. Garde 120 Louie Street Wagener SC 29164 Ph: (803) 564-8803 |
| NPI Number | 1902164171 |
|---|---|
| Provider Enumeration Date | 04/25/2012 |
| Last Update Date | 04/25/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902164171 | NPI | - | NPPES |
| 102267 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | 10226 (South Carolina) | Primary |
Wagener Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Louie Street, Wagener, SC 29164 Phone: 803-284-0020 Fax: 803-284-5516 | |
Wagener Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Louie Street, Wagener, SC 29164 Phone: 803-564-6497 Fax: 803-564-6498 | |
Wagener Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 120 Louie Street, Wagener, SC 29164 Phone: 803-284-0020 Fax: 803-284-5516 |