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NPI Code Detail

MEDICARE: GAFFNEY HMA PHYSICIAN MANAGEMENT, INC.

MEDICARE: GAFFNEY HMA PHYSICIAN MANAGEMENT, INC.
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
1332B00000XDurable Medical Equipment & Medical Supplies13832SC
2207XX0005XSports Medicine (Orthopaedic Surgery) Physician13832SC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1851575518
Entity Type Code : Organization
Provider Name (Legal Business Name) : GAFFNEY HMA PHYSICIAN MANAGEMENT, INC.
Provider Business Mailing Address
First Line : 104 PROFESSIONAL PARK
Second Line : SUITE A
City : GAFFNEY
State : SC
Zip : 29340-2319
Country : US
Telephone Number : 864-488-3336
Fax Number : 864-488-4439
Provider Business Practice Location Address
First Line : 104 PROFESSIONAL PARK
Second Line : SUITE A
City : GAFFNEY
State : SC
Zip : 29340-2319
Country : US
Telephone Number : 864-488-3336
Fax Number : 864-488-4439
Authorized Official
Title or Position : SR. VICE PRESIDENT
Name : STANLEY D. MCLEMORE
Credential :
Telephone Number : 229-598-3131
Provider Enumeration Date : 12/18/2007
Last Update Date : 04/16/2009

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