Memorial Drive Medical Pc, Llc | |
111 Memorial Dr Greer SC 29650-1518 | |
(864) 326-4648 | |
Not Available |
Full Name | Memorial Drive Medical Pc, Llc |
---|---|
Speciality | Pediatrics |
Location | 111 Memorial Dr, Greer, South Carolina |
Authorized Official Name and Position | Joshua Andrew Hall (CMO) |
Authorized Official Contact | 8643264648 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Memorial Drive Medical Pc, Llc 296 Delbourne Ln Greer SC 29651-7188 Ph: (864) 326-4648 | Memorial Drive Medical Pc, Llc 111 Memorial Dr Greer SC 29650-1518 Ph: (864) 326-4648 |
NPI Number | 1922742204 |
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Provider Enumeration Date | 04/23/2022 |
Last Update Date | 04/23/2022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1922742204 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
208000000X | Pediatrics | (* (Not Available)) | Primary |
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