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1530 N Limestone St Gaffney SC 29340-4742 | |
(864) 487-5014 | |
(864) 487-7981 |
Full Name | |
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Speciality | Family Medicine |
Location | 1530 N Limestone St, Gaffney, South Carolina |
Authorized Official Name and Position | Kenneth J Meinke (CHIEF FINANCIAL OFFICER) |
Authorized Official Contact | 8645606103 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 743070 Atlanta GA 30374-3070 Ph: (864) 560-4304 | 1530 N Limestone St Gaffney SC 29340-4742 Ph: (864) 487-5014 |
NPI Number | 1720543200 |
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Provider Enumeration Date | 02/08/2019 |
Last Update Date | 12/16/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1720543200 | NPI | - | NPPES |
GP8898 | Medicaid | SC | |
5019 | Other | SC | MEDICARE PIN |
PG9979 | 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 | |