| Mcc Womans and Children's Primary Enhancement Program | |
|
701 Grove Rd Greenville SC 29605-5611 | |
| (864) 455-7000 | |
| Not Available |
| Full Name | Mcc Womans and Children's Primary Enhancement Program |
|---|---|
| Speciality | Clinic/center |
| Location | 701 Grove Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Michael C. Riordan (PRESIDENT / CEO) |
| Authorized Official Contact | 8647977808 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcc Womans and Children's Primary Enhancement Program 1 Independence Pt Suite 212 Greenville SC 29615-4545 Ph: (864) 797-6307 | Mcc Womans and Children's Primary Enhancement Program 701 Grove Rd Greenville SC 29605-5611 Ph: (864) 455-7000 |
| NPI Number | 1780760710 |
|---|---|
| Provider Enumeration Date | 10/31/2006 |
| Last Update Date | 04/14/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780760710 | NPI | - | NPPES |
| MC0007 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (South Carolina) | Primary |
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