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Organization

UPSTATE PRIMARY CARE MEDICINE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
HEATHER WAY (PRACTICE ADMINISTRATOR)
(843) 345-0832
Entity
Organization

Contact information

Practice address
810 POWDERSVILLE RD STE B, EASLEY, SC 29642-3704
(864) 551-2764
(864) 307-9322
Mailing address
810 POWDERSVILLE RD STE B, EASLEY, SC 29642-3704
(864) 551-2764
(864) 307-9322

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
08/21/2024
Last updated
08/22/2024
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