| Resilience Family Healthcare & Iv Lounge | |
|
302b Montague Ave Greenwood SC 29649-1938 | |
| (864) 323-3973 | |
| Not Available |
| Full Name | Resilience Family Healthcare & Iv Lounge |
|---|---|
| Speciality | Family Medicine |
| Location | 302b Montague Ave, Greenwood, South Carolina |
| Authorized Official Name and Position | Calistur Hill (OWNER) |
| Authorized Official Contact | 8643239373 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Resilience Family Healthcare & Iv Lounge 115 Oak Ridge Dr Greenwood SC 29649-1777 Ph: (864) 323-9373 | Resilience Family Healthcare & Iv Lounge 302b Montague Ave Greenwood SC 29649-1938 Ph: (864) 323-3973 |
| NPI Number | 1518531573 |
|---|---|
| Provider Enumeration Date | 05/14/2021 |
| Last Update Date | 05/14/2021 |
| Medicare PECOS PAC ID | 8325438435 |
|---|---|
| Medicare Enrollment ID | O20211203002444 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518531573 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Calistur Hill |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063971083 PECOS PAC ID: 7315288776 Enrollment ID: I20190411002022 |
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