Organization
PIEDMONT GASTRONETEROLOGY PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TERRIE HUGGINS WALKER (ADMINSITRATOR)
(864) 286-1040
Entity
Organization
Contact information
Practice address
9 HAWTHORNE PARK CT, GREENVILLE, SC 29615-3194
(864) 286-1040
(864) 286-1090
Mailing address
217 SANDY POINT DR, ANDERSON, SC 29625-6588
(864) 449-8166
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1375
—
SC
Enumeration date
03/14/2006
Last updated
11/06/2007
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