| Trinity Family Practice | |
|
4144 Clemson Blvd Anderson SC 29621-1108 | |
| (864) 224-3332 | |
| Not Available |
| Full Name | Trinity Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 4144 Clemson Blvd, Anderson, South Carolina |
| Authorized Official Name and Position | Christine Lawrence (CEO) |
| 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 4144 Clemson Blvd Anderson SC 29621-1108 Ph: (864) 224-9598 | Trinity Family Practice 4144 Clemson Blvd Anderson SC 29621-1108 Ph: (864) 224-3332 |
| NPI Number | 1700349784 |
|---|---|
| Provider Enumeration Date | 04/08/2019 |
| Last Update Date | 12/17/2021 |
| Medicare PECOS PAC ID | 3577897578 |
|---|---|
| Medicare Enrollment ID | O20190625002807 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700349784 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Christine J Lawrence |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1053750257 PECOS PAC ID: 6406080050 Enrollment ID: I20161227000469 |
| Provider Name | Ning Sun |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003340977 PECOS PAC ID: 0749557536 Enrollment ID: I20170526001163 |
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