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Organization

EASTSIDE INTERNAL MED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
W LEONARD PUGH MD (OWNER)
(864) 281-9999
Entity
Organization

Contact information

Practice address
2 ROPER CORNERS CIRCLE, GREENVILLE, SC 29615
(864) 281-9999
(864) 281-9990
Mailing address
2 ROPER CORNERS CIRCLE, GREENVILLE, SC 29615
(864) 281-9999
(864) 281-9990

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
02/01/2008
Last updated
02/01/2008
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