| Upstate Homecare MD, LLC | |
|
212 Horse Head Point Dr Seneca SC 29672-8010 | |
| (864) 654-6150 | |
| Not Available |
| Full Name | Upstate Homecare MD, LLC |
|---|---|
| Speciality | Family Medicine - Geriatric Medicine |
| Location | 212 Horse Head Point Dr, Seneca, South Carolina |
| Authorized Official Name and Position | William a King (OWNER) |
| Authorized Official Contact | 8646546150 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Homecare MD, LLC 212 Horsehead Point Seneca SC 29672-8010 Ph: (864) 654-6150 | Upstate Homecare MD, LLC 212 Horse Head Point Dr Seneca SC 29672-8010 Ph: (864) 654-6150 |
| NPI Number | 1013057520 |
|---|---|
| Provider Enumeration Date | 02/07/2007 |
| Last Update Date | 08/26/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013057520 | NPI | - | NPPES |
| GP4621 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207QG0300X | Family Medicine - Geriatric Medicine | 10288 (South Carolina) | Primary |
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