Organization
UPSTATE MEDICAL CARE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAMRATA M SHIDHAYE M.D. (OWNER)
(864) 530-0000
Entity
Organization
Contact information
Practice address
1530 S HIGHWAY 14, GREER, SC 29650-4620
(864) 530-0000
(864) 530-0001
Mailing address
1530 S HIGHWAY 14, GREER, SC 29650-4620
(864) 253-0000
(864) 530-0001
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD27439
SC
Other
Enumeration date
10/29/2008
Last updated
01/13/2010
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