Full Name | |
---|---|
Speciality | Family Medicine |
Location | 722 Hyatt St, Gaffney, South Carolina |
Authorized Official Name and Position | Kenneth Meinke (CFO) |
Authorized Official Contact | 8645606000 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 722 Hyatt St Gaffney SC 29341-2643 Ph: (864) 489-2400 |
NPI Number | 1609264936 |
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Provider Enumeration Date | 01/09/2015 |
Last Update Date | 09/16/2019 |
Identifier | Type | State | Issuer |
---|---|---|---|
1609264936 | NPI | - | NPPES |
GP6744 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Cherokee Community Care, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1307 N Logan St, Gaffney, SC 29341 Phone: 864-488-1333 | |