| Southside Medical Center Pa | |
|
3921 S Highway 14 Ste A Greenville SC 29615-6138 | |
| (864) 288-2006 | |
| (864) 288-1678 |
| Full Name | Southside Medical Center Pa |
|---|---|
| Speciality | Clinic/Center |
| Location | 3921 S Highway 14 Ste A, Greenville, South Carolina |
| Authorized Official Name and Position | Thaer Joudeh (OWNER) |
| Authorized Official Contact | 8642882006 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Southside Medical Center Pa 3921 S Highway 14 Ste A Greenville SC 29615-6138 Ph: (864) 288-2006 | Southside Medical Center Pa 3921 S Highway 14 Ste A Greenville SC 29615-6138 Ph: (864) 288-2006 |
| NPI Number | 1972782019 |
|---|---|
| Provider Enumeration Date | 10/25/2007 |
| Last Update Date | 10/25/2007 |
| Medicare PECOS PAC ID | 5496703274 |
|---|---|
| Medicare Enrollment ID | O20050107000849 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972782019 | NPI | - | NPPES |
| 216965 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 21696 (South Carolina) | Primary |
| Provider Name | Thaer A Joudeh |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851355572 PECOS PAC ID: 0345226999 Enrollment ID: I20040625000209 |
Cooke's Continence Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 330-c Pelham Road, Suite B-102, Greenville, SC 29615 Phone: 864-412-8424 Fax: 864-412-8012 | |
Center For Adult And Family Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 305 Tanner Rd, Greenville, SC 29607 Phone: 864-627-1220 Fax: 864-627-1221 | |
Greenville Functional Medicine Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 301 Halton Rd, Suite A, Greenville, SC 29607 Phone: 864-558-0200 Fax: 864-520-1245 | |
The Wellness Center Operated By Premise Health Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 244 Terminal Rd Bldg 1045, Greenville, SC 29605 Phone: 864-299-7193 Fax: 864-299-7639 | |
H And M Labs And Clinics, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Commons Way, Greenville, SC 29611 Phone: 864-979-0846 | |
New Horizon Family Health Services - Main Site Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 975 W Faris Rd, Greenville, SC 29605 Phone: 864-729-8330 Fax: 864-751-0479 | |
Hopewell Medical Care Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2090 Woodruff Rd, Greenville, SC 29607 Phone: 864-729-8556 |