Individual
KATHERINE HALTIWANGER BIRCHENOUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1025 VERDAE BLVD, SUITE B, GREENVILLE, SC 29607-4032
(864) 864-2867
(864) 286-7551
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
0101230330
VA
207P00000X
Emergency Medicine Physician
Primary
31992
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
319925
—
SC
01
—
P00950526
RAILROAD MEDICARE
SC
Enumeration date
05/20/2006
Last updated
09/04/2013
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