| Greenville Medical Care Pa | |
|
61 Pointe Cir Greenville SC 29615-3505 | |
| (864) 286-6960 | |
| (864) 286-8710 |
| Full Name | Greenville Medical Care Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 61 Pointe Cir, Greenville, South Carolina |
| Authorized Official Name and Position | Mohammad Rashid (PRESIDENT) |
| Authorized Official Contact | 8642866960 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenville Medical Care Pa Po Box 6807 Greenville SC 29606-6807 Ph: (864) 286-6960 | Greenville Medical Care Pa 61 Pointe Cir Greenville SC 29615-3505 Ph: (864) 286-6960 |
| NPI Number | 1386792596 |
|---|---|
| Provider Enumeration Date | 01/07/2007 |
| Last Update Date | 03/22/2010 |
| Medicare PECOS PAC ID | 5597897736 |
|---|---|
| Medicare Enrollment ID | O20100723000086 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386792596 | NPI | - | NPPES |
| GP3615 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 17944 (South Carolina) | Primary |
| Provider Name | Mohammad Rashid |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1003827759 PECOS PAC ID: 4587638457 Enrollment ID: I20040825000911 |
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