| Lakeside Family Medicine, Pa | |
|
4120 Highway 24 Anderson SC 29626-5321 | |
| (864) 224-4003 | |
| (864) 224-4999 |
| Full Name | Lakeside Family Medicine, Pa |
|---|---|
| Speciality | Family Medicine |
| Location | 4120 Highway 24, Anderson, South Carolina |
| Authorized Official Name and Position | Melody Franks (MD) |
| Authorized Official Contact | 8642244003 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lakeside Family Medicine, Pa 4120 Highway 24 Anderson SC 29626-5321 Ph: (864) 224-4003 | Lakeside Family Medicine, Pa 4120 Highway 24 Anderson SC 29626-5321 Ph: (864) 224-4003 |
| NPI Number | 1073562864 |
|---|---|
| Provider Enumeration Date | 05/09/2006 |
| Last Update Date | 11/06/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073562864 | NPI | - | NPPES |
| GP2512 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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