Upstate Family Medicine PA
NPI #1831140540 in Seneca, South Carolina
Provider Information
- NPI Number
- 1831140540
- Entity Type
- Organization
- Organization Name
- Upstate Family Medicine PA
- Primary Specialty
- Family Medicine
- Enumeration Date
- May 15, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 109 OMNI DR
- Address 2
- SUITE B
- City
- Seneca
- State
- South Carolina
- ZIP Code
- 29672-9448
- Phone
- (864) 882-6141
Authorized Official
- Name
- DR. RANDALL K COLVIN, MD
- Title
- OWNER
- Phone
- (864) 882-6141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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