Organization
MEDEXPRESS PRIMARY CARE SOUTH CAROLINA, P.C.
Active
Other names
Michelin Health Ctr - Anderson Hub
Organization subpart
No
Provider details
NPI number
Authorized official
BRETT GALL (DIRECTOR PAYOR CONTRACTING)
(304) 225-2500
Entity
Organization
Contact information
Practice address
955 BOSCOBEL RD, ANDERSON, SC 29625-6704
(864) 375-0893
(864) 375-0894
Mailing address
1001 CONSOL ENERGY DR, CANONSBURG, PA 15317-6506
(304) 225-2500
(724) 743-1133
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
03/12/2019
Last updated
03/12/2019
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