Individual
DR. THERESA GREENE KNOEPP
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1501 N MAIN ST, ANDERSON, SC 29621-4734
(864) 716-0063
(864) 716-0073
Mailing address
1501 N MAIN ST, ANDERSON, SC 29621-4734
(864) 716-0063
(864) 716-0073
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
20003
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20003
MEDICAL LICENSE
SC
05
—
200035
—
SC
Enumeration date
05/09/2006
Last updated
07/09/2007
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