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Individual

GRETCHEN KANEB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
(864) 422-2930
Mailing address
41 PARK CREEK DR, GREENVILLE, SC 29605-4270
(864) 299-1600
(864) 422-2930

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
229990
NY
207QA0505X
Adult Medicine Physician
30352
SC

Other

Enumeration date
10/25/2006
Last updated
04/04/2017
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