# PHYSICIAN THERAPEUTIC INFUSIONS OF THE UPSATE, LLC

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

## Provider details

- **NPI number:** 1407343585
- **Authorized official:** DR. MATTHEW PATRICK ELLIOTT MD (PRESIDENT)
- **Authorized official phone:** (864) 431-1958

## Contact information

- **Practice address:** 107 PROFESSIONAL CT, ANDERSON, SC 29621-2052
- **Practice address phone:** (864) 431-1958
- **Mailing address:** 102 ARDEN CHASE, ANDERSON, SC 29621-1593
- **Mailing address phone:** (864) 431-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/15/2018
- **Last updated:** 04/15/2018