Organization
SHERIDAN EMERGENCY PHYSICIAN SERVICES OF SOUTH CAROLINA, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAUL A ANDRULONIS MD (PRESIDENT)
(954) 838-2371
Entity
Organization
Contact information
Practice address
200 FLEETWOOD DR, EASLEY, SC 29640-2022
(864) 442-7200
Mailing address
PO BOX 452215, SUNRISE, FL 33345-2215
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/20/2012
Last updated
11/20/2012
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