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NPI Code Detail

MEDICARE: UPPER SAVANNAH CARE SERVICES

MEDICARE: UPPER SAVANNAH CARE SERVICES
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health Agency
2261QF0400XFederally Qualified Health Center (FQHC)
3207Q00000XFamily Medicine Physician

General Provider Information

NPI Number : 1659173615
Entity Type Code : Organization
Provider Name (Legal Business Name) : UPPER SAVANNAH CARE SERVICES
Provider Business Mailing Address
First Line : PO BOX 3202
Second Line :
City : GREENWOOD
State : SC
Zip : 29648-3202
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 107 VENTURE CT
Second Line :
City : GREENWOOD
State : SC
Zip : 29649-8558
Country : US
Telephone Number : 864-229-9029
Fax Number :
Authorized Official
Title or Position : CEO
Name : JASON L WILLIAMS
Credential : LPC
Telephone Number : 864-229-9029
Provider Enumeration Date : 03/27/2025
Last Update Date : 11/14/2025

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Directions to “UPPER SAVANNAH CARE SERVICES ” Practice Location

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