| Emmanuel Family Clinic-saluda | |
|
501 W Butler Ave Saluda SC 29138-1313 | |
| (864) 445-2250 | |
| (864) 445-7332 |
| Full Name | Emmanuel Family Clinic-saluda |
|---|---|
| Speciality | Family Medicine |
| Location | 501 W Butler Ave, Saluda, South Carolina |
| Authorized Official Name and Position | Gisella E Godoy (PHYSICIAN) |
| Authorized Official Contact | 8644452250 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Emmanuel Family Clinic-saluda 501 W Butler Ave Saluda SC 29138-1313 Ph: (864) 445-2250 | Emmanuel Family Clinic-saluda 501 W Butler Ave Saluda SC 29138-1313 Ph: (864) 445-2250 |
| NPI Number | 1215914676 |
|---|---|
| Provider Enumeration Date | 12/28/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9234296955 |
|---|---|
| Medicare Enrollment ID | O20090325000358 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215914676 | NPI | - | NPPES |
| T83291 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Franco Bernard Godoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174500656 PECOS PAC ID: 7012936313 Enrollment ID: I20051116000309 |
| Provider Name | Gisella E Godoy |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1821075185 PECOS PAC ID: 7113084823 Enrollment ID: I20090325000272 |
| Provider Name | Candace V Lawer-johnson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720450901 PECOS PAC ID: 9436457942 Enrollment ID: I20160418001182 |
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