Organization
OCONEE PHYSICIAN PRACTICES
Active
Other names
Upstate Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MATTHEW G HEDTKE MHA (EXECUTIVE DIRECTOR)
(864) 885-7673
Entity
Organization
Contact information
Practice address
109 OMNI DR, SUITE B, SENECA, SC 29672-9448
(864) 885-7938
(864) 882-6680
Mailing address
123 LILA DOYLE DR, SENECA, SC 29672-9495
(864) 885-7989
(864) 885-7945
Taxonomy
Speciality
Code
Description
License number
State
363LP2300X
Primary Care Nurse Practitioner
Primary
261QR1300X
SC
Other
Enumeration date
01/16/2008
Last updated
01/16/2008
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