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
Mailing address
810 POWDERSVILLE RD STE B, EASLEY, SC 29642-3704
(864) 551-2764
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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