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Organization
GASTROENTEROLOGY ASSOCIATES PA
Active
Organization
GASTROENTEROLOGY ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI M HUDSON (DIRECTOR OF BUSINESS SERVICES)
(864) 451-5146
Entity
Organization
Contact information
Practice address
552 MEMORIAL DRIVE EXT STE D, GREER, SC 29651-1135
(864) 232-7338
(864) 239-6645
Mailing address
PO BOX 8676, GREENVILLE, SC 29604-8676
(864) 232-7338
(864) 239-6645
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
NULL
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
04/20/2009
Last updated
04/20/2009
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