Individual
MARY BERNADETTE RIPPON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
890 W FARIS RD, SUITE 320, GREENVILLE, SC 29605-4253
(864) 455-1200
(864) 455-1209
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
18491
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
020053706
RR MEDICARE
SC
05
—
T25991
—
SC
Enumeration date
05/10/2006
Last updated
01/31/2018
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