Individual
MADISON LEIGH MERRITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
415 DUNCAN CHAPEL RD, GREENVILLE, SC 29617-8224
(864) 522-2600
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6308
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
39738
SC
Other
Enumeration date
06/15/2016
Last updated
08/08/2019
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