| Powdersville Medical Park | |
|
15 Roe Rd. Greenville SC 29611-7423 | |
| (864) 442-7557 | |
| (864) 442-7579 |
| Full Name | Powdersville Medical Park |
|---|---|
| Speciality | Family Medicine |
| Location | 15 Roe Rd., Greenville, South Carolina |
| Authorized Official Name and Position | James Larry Pope (VICE PRESIDENT OF FINANCE) |
| Authorized Official Contact | 8644427610 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Powdersville Medical Park Po Box 2089 Easley SC 29641-2089 Ph: (864) 442-7557 | Powdersville Medical Park 15 Roe Rd. Greenville SC 29611-7423 Ph: (864) 442-7557 |
| NPI Number | 1982835104 |
|---|---|
| Provider Enumeration Date | 08/05/2009 |
| Last Update Date | 12/21/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982835104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (South Carolina) | Primary |
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