Individual
JOSEPH ANDREW MANFREDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1005 GROVE RD, GREENVILLE, SC 29605-4630
(864) 455-6900
(864) 255-5619
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
29936
SC
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
29936
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
29936
—
SC
05
—
299368
—
SC
05
—
GP1453
—
SC
05
—
GP2312
—
SC
05
—
GP2315
—
SC
Enumeration date
05/12/2006
Last updated
06/14/2021
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