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Organization
ALLERGIC DISEASE AND ASTHMA CENTER
Active
Organization
ALLERGIC DISEASE AND ASTHMA CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL W. REDER MD (MEDICAL PHYSICIAN)
(864) 269-0386
Entity
Organization
Contact information
Practice address
1202 E BUTLER RD, GREENVILLE, SC 29607-5910
(864) 627-3800
(864) 672-2653
Mailing address
PO BOX 27129, GREENVILLE, SC 29616-2129
(864) 627-3800
(864) 672-2653
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
225018
—
SC
Enumeration date
07/16/2008
Last updated
10/07/2010
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