Individual
MARIA EILEEN MIRANDA YRUMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 GROVE RD FL 5, GREENVILLE, SC 29605-4210
(864) 455-4411
(864) 455-4480
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD443122
PA
208M00000X
Hospitalist Physician
Primary
86924
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
07/08/2011
Last updated
04/22/2022
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