Organization
POWDERSVILLE HEALTH INTERNAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NANCY MCNEELY LOLLIS (OFFICE MANAGER)
(864) 568-5018
Entity
Organization
Contact information
Practice address
3150 HIGHWAY 153, PIEDMONT, SC 29673-9498
(864) 568-5018
(864) 295-0095
Mailing address
3150 HIGHWAY 153, PIEDMONT, SC 29673-9498
(864) 568-5018
(864) 295-0095
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD38594
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385942
—
SC
Enumeration date
02/22/2016
Last updated
02/22/2016
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