Individual
KYLE IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
206 S MAIN ST # A, GREER, SC 29650-2127
(864) 989-0230
Mailing address
206 S MAIN ST # A, GREER, SC 29650-2127
(864) 989-0230
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
5095
SC
Other
Enumeration date
10/26/2023
Last updated
10/26/2023
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