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Organization
PHYSICIAN THERAPEUTIC INFUSIONS OF THE UPSATE, LLC
Active
Organization
PHYSICIAN THERAPEUTIC INFUSIONS OF THE UPSATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PATRICK ELLIOTT MD (PRESIDENT)
(864) 431-1958
Entity
Organization
Contact information
Practice address
107 PROFESSIONAL CT, ANDERSON, SC 29621-2052
(864) 431-1958
Mailing address
102 ARDEN CHASE, ANDERSON, SC 29621-1593
(864) 431-1958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
NULL
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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