# ANESTHESIA ASSOCIATES OF THE UPSTATE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205141801
- **Authorized official:** DR. RICHARD GREER MD (MANAGING DIRECTOR)
- **Authorized official phone:** (843) 651-2624

## Contact information

- **Practice address:** 200 PATEWOOD DR, SUITE B200, GREENVILLE, SC 29615-3593
- **Practice address phone:** (843) 651-2624
- **Practice address fax:** (843) 357-4940
- **Mailing address:** PO BOX 4860, MURRELLS INLET, SC 29576-2698
- **Mailing address phone:** (843) 651-2624
- **Mailing address fax:** (843) 357-4940

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 08/09/2010
- **Last updated:** 08/09/2010
