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Individual

MICHELLE RENE VIGLIANCO-VANPELT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
325 MEDICAL PKWY, SUITE 150, GREER, SC 29650-2457
(864) 797-9300
(864) 849-9196
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
28632
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
195798
MEDCOST
SC
05
286327
SC
01
7520445
AETNA
SC
Enumeration date
08/31/2006
Last updated
09/04/2013
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