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General, Orthopedic, Thoracic, Vascular Surgery
Plastic, Cosmetic, Oral, Podiatric Surgery

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GREENVILLE EAR NOSE & THROAT

Surgery Yellow Pages

Greenville, South Carolina

Provider NPI: 1932169273

Organization Information:
Organization Name:  GREENVILLE EAR NOSE & THROAT


Practice Location:
200 PATEWOOD DR BUILDING B SUITE B400 GREENVILLE, SC 29615 US
Tel: 864-454-4368  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y261QS0112XAmbulatory Health Care Facilities
Clinic/Center
Oral and Maxillofacial Surgery
SC15939

Other Provider Identifiers:

IssuerNumberStateType
GP0618SC05
RAILROAD MEDICARECL5602SC01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin



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