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Organization

OCONEE PHYSICIAN PRACTICES

Active
Other names
Clemson-Seneca Pediatrics
Organization subpart
No

Provider details

NPI number
Authorized official
MR. BRYAN M MCCAIN (EXECUTIVE DIRECTOR)
(864) 885-7673
Entity
Organization

Contact information

Practice address
208 FRONTAGE RD, SUITE 1, CLEMSON, SC 29631-1691
(864) 654-6034
(864) 654-0342
Mailing address
301 MEMORIAL DR, SUITE F, SENECA, SC 29672-9491
(864) 885-7989
(864) 885-7867

Taxonomy

Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
423890
RHC
SC
Enumeration date
11/12/2012
Last updated
06/24/2015
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