| Foothills Internal Medicine | |
|
1648 Gentry Memorial Hwy Easley SC 29640-8877 | |
| (864) 855-1331 | |
| (864) 855-1602 |
| Full Name | Foothills Internal Medicine |
|---|---|
| Speciality | Internal Medicine |
| Location | 1648 Gentry Memorial Hwy, Easley, South Carolina |
| Authorized Official Name and Position | Brenda Waters (ADMINISTRATOR) |
| Authorized Official Contact | 8648551331 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Foothills Internal Medicine 1648 Gentry Memorial Hwy Easley SC 29640-8877 Ph: (864) 855-1331 | Foothills Internal Medicine 1648 Gentry Memorial Hwy Easley SC 29640-8877 Ph: (864) 855-1331 |
| NPI Number | 1982699179 |
|---|---|
| Provider Enumeration Date | 09/14/2005 |
| Last Update Date | 09/26/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982699179 | NPI | - | NPPES |
| GP0069 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
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