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1053361758
UPSTATE FAMILY MEDICINE LLC
ANDERSON, SC
NPI
1053361758
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Entity Type
Organization
Authorized Contact
KYLE NELSON
Do
864-226-1899
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-05-11
Last Update Date
2008-03-14
Business Address
UPSTATE FAMILY MEDICINE LLC
1517 N FANT ST
ANDERSON, SC 29621-4707
Phone number: 864-226-1899
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Mailing Address
UPSTATE FAMILY MEDICINE LLC
1517 N FANT ST
ANDERSON, SC 29621-4707
Phone number: 864-226-1899
Copy
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