Basic Information
| Provider Information | |||||||||
| NPI: | 1770537573 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ABRAMS | ||||||||
| FirstName: | GARY | ||||||||
| MiddleName: | ANTHONY | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 300 E MCBEE AVE FL 4 | ||||||||
| Address2: | |||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296012842 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8645228603 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 890 W FARIS RD | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | GREENVILLE | ||||||||
| State: | SC | ||||||||
| PostalCode: | 296054253 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8644552888 | ||||||||
| FaxNumber: | 8644552885 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/19/2006 | ||||||||
| LastUpdateDate: | 07/19/2021 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 07/19/2021 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RI0008X | 19230 | AL | N | Allopathic & Osteopathic Physicians | Internal Medicine | Hepatology | 207RG0100X | 37369 | SC | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Gastroenterology |
ID Information
| ID | Type | State | Issuer | Description | 000035985 | 01 | AL | BLUE CROSS | OTHER | 000035985 | 05 | AL | MEDICAID | 100007520 | 01 | AL | RAILROAD MEDICARE | OTHER | P00410440 | 01 | AL | RR MEDICARE | OTHER | 203204949 | 01 | AL | COMMERCIAL | OTHER | F65913 | 01 | AL | VIVA | OTHER | 009910852 | 05 | AL | MEDICAID | 0124513 | 01 | MS | MISSISSIPPI MEDICAID | OTHER | 051540750 | 01 | AL | BLUE CROSS OF ALABAMA | OTHER | 051559225 | 01 | AL | MEDICARE | OTHER | 373697 | 05 | SC | MEDICAID | 16024 | 01 | AL | HEALTHSPRING | OTHER |