# INTERNAL MEDICINE AND CARDIOLOGY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Peace Medical Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477970010
- **Authorized official:** MRS. VINITA SRIVASTAVA MD (MEDICAL DIRECTOR)
- **Authorized official phone:** (864) 233-2744

## Contact information

- **Practice address:** 401 GUESS ST, STE 100, GREENVILLE, SC 29605-4155
- **Practice address phone:** (864) 233-2744
- **Practice address fax:** (864) 331-2896
- **Mailing address:** 401 GUESS ST, STE 100, GREENVILLE, SC 29605-4155
- **Mailing address phone:** (864) 233-2744
- **Mailing address fax:** (864) 331-2896

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 364SG0600X | Gerontology Clinical Nurse Specialist | 18695 | SC | Yes |

## Other

- **Enumeration date:** 03/20/2014
- **Last updated:** 03/20/2014