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Organization
KEOWEE PRIMARY CARE & INTERNAL MEDICINE PC
Active
Organization
KEOWEE PRIMARY CARE & INTERNAL MEDICINE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY KEYLON (OFFICE MANAGER)
(864) 885-0058
Entity
Organization
Contact information
Practice address
109 CARTER PARK DR, SUITE 3A, SENECA, SC 29678-1152
(864) 885-0058
Mailing address
PO BOX 8037, SENECA, SC 29678-0001
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
NULL
207R00000X
Internal Medicine Physician
Primary
—
—
261QU0200X
Urgent Care Clinic/Center
—
NULL
Other
Enumeration date
08/31/2006
Last updated
11/18/2022
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