| Upstate Primary Care Medicine Llc | |
|
810 Powdersville Rd Ste B Easley SC 29642-3704 | |
| (864) 551-2764 | |
| (864) 307-9322 |
| Full Name | Upstate Primary Care Medicine Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 810 Powdersville Rd Ste B, Easley, South Carolina |
| Authorized Official Name and Position | Heather Way (PRACTICE ADMINISTRATOR) |
| Authorized Official Contact | 8433450832 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Primary Care Medicine Llc 810 Powdersville Rd Ste B Easley SC 29642-3704 Ph: (864) 551-2764 | Upstate Primary Care Medicine Llc 810 Powdersville Rd Ste B Easley SC 29642-3704 Ph: (864) 551-2764 |
| NPI Number | 1275366874 |
|---|---|
| Provider Enumeration Date | 08/21/2024 |
| Last Update Date | 08/22/2024 |
| Medicare PECOS PAC ID | 9931648938 |
|---|---|
| Medicare Enrollment ID | O20240822000090 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275366874 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Charles F Way |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1679589451 PECOS PAC ID: 7517945769 Enrollment ID: I20080417000004 |
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