Individual
JOEL RHEIN AMIDON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
877 W FARIS RD, GREENVILLE, SC 29605
(864) 455-7800
(864) 455-9802
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
38532
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385327
—
SC
Enumeration date
07/17/2015
Last updated
05/19/2021
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