| Prisma Health-upstate | |
|
807 N Main St Travelers Rest SC 29690-1551 | |
| (864) 455-9150 | |
| (864) 455-9236 |
| Full Name | Prisma Health-upstate |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 807 N Main St, Travelers Rest, South Carolina |
| Authorized Official Name and Position | Polly H Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health-upstate 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: () - | Prisma Health-upstate 807 N Main St Travelers Rest SC 29690-1551 Ph: (864) 455-9150 |
| NPI Number | 1609556489 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 05/01/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609556489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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Prisma Health-upstate Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 807 N Main St, Travelers Rest, SC 29690 Phone: 864-455-9261 Fax: 864-455-9264 | |
T. Daniel Caddell Md Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 907 North Main Street, Travelers Rest, SC 29690 Phone: 864-834-4191 Fax: 864-834-1964 | |
Spartanburg Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Botanical Cir, Travelers Rest, SC 29690 Phone: 864-849-9210 | |
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