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Organization
MEDASIC
Active
Organization
MEDASIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NANCY PATEL DO (OWNER)
(864) 400-8293
Entity
Organization
Contact information
Practice address
300 JOHN ST STE 4B, GREER, SC 29651-1463
(864) 400-8293
Mailing address
700 PLAZA CIR STE N, CLINTON, SC 29325-7556
(864) 334-7727
(864) 655-7300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DO1571
MEDICAL LICENSES
SC
Enumeration date
02/07/2020
Last updated
12/20/2022
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