| Trinity Family Practice Anderson LLC | |
|
4144 Clemson Blvd Anderson SC 29621-1108 | |
| (864) 224-9598 | |
| (864) 226-2462 |
| Full Name | Trinity Family Practice Anderson LLC |
|---|---|
| Speciality | Family Medicine |
| Location | 4144 Clemson Blvd, Anderson, South Carolina |
| Authorized Official Name and Position | Christine J Lawrence (SOLE MBR) |
| Authorized Official Contact | 8642249598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Trinity Family Practice Anderson LLC 4144 Clemson Blvd Anderson SC 29621-1108 Ph: (864) 224-9598 | Trinity Family Practice Anderson LLC 4144 Clemson Blvd Anderson SC 29621-1108 Ph: (864) 224-9598 |
| NPI Number | 1811659220 |
|---|---|
| Provider Enumeration Date | 10/13/2021 |
| Last Update Date | 10/13/2021 |
| Certification Date | 10/13/2021 |
| Medicare PECOS PAC ID | 5698167385 |
|---|---|
| Medicare Enrollment ID | O20220107001553 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811659220 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | () | Primary |
| Provider Name | Elmer G Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669804647 PECOS PAC ID: 2163650532 Enrollment ID: I20140109000759 |
| Provider Name | Holly D Rogers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750763405 PECOS PAC ID: 5496063463 Enrollment ID: I20150924003368 |
| Provider Name | Christine J Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053750257 PECOS PAC ID: 6406080050 Enrollment ID: I20161227000469 |
| Provider Name | Nina E.M. Bridges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881131829 PECOS PAC ID: 6608144712 Enrollment ID: I20170614000976 |
| Provider Name | Heather Michelle Martin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1083278279 PECOS PAC ID: 6800229691 Enrollment ID: I20191210000168 |
| Provider Name | Brandi Leigh Harper |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1124796743 PECOS PAC ID: 8628467594 Enrollment ID: I20211115001709 |
| Provider Name | Morgan Mccoy |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922711241 PECOS PAC ID: 9537525126 Enrollment ID: I20230524002789 |
| Provider Name | Ruth L Tellano-daniel |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396836722 PECOS PAC ID: 6002069366 Enrollment ID: I20260204004335 |
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