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Individual

DR. ANDRE C EADDY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D., PH.D.

Contact information

Practice address
890 W FARIS RD STE 100, GREENVILLE, SC 29605-4285
(864) 455-2888
(864) 455-2885
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
83292
SC
390200000X
Student in an Organized Health Care Education/Training Program

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
832923
SC
Enumeration date
05/02/2013
Last updated
06/04/2021
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