| Upstate Endoscopy | |
|
1922b Mcconnell Springs Rd Anderson SC 29621-2642 | |
| (864) 716-6555 | |
| (864) 716-6599 |
| Full Name | Upstate Endoscopy |
|---|---|
| Speciality | Clinic/Center |
| Location | 1922b Mcconnell Springs Rd, Anderson, South Carolina |
| Authorized Official Name and Position | David Wortham (MD) |
| Authorized Official Contact | 8647166555 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Endoscopy 1922b Mcconnell Springs Rd Anderson SC 29621-2642 Ph: (864) 716-6555 | Upstate Endoscopy 1922b Mcconnell Springs Rd Anderson SC 29621-2642 Ph: (864) 716-6555 |
| NPI Number | 1881645810 |
|---|---|
| Provider Enumeration Date | 05/15/2006 |
| Last Update Date | 05/21/2015 |
| Medicare PECOS PAC ID | 8729065271 |
|---|---|
| Medicare Enrollment ID | O20040701001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881645810 | NPI | - | NPPES |
| ASC055 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | () | Secondary |
| 261QE0800X | Clinic/center - Endoscopy | () | Primary |
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