Organization
BAPTIST EASLEY
Active
Other names
Upstate Bone and Joint
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARY BETHE ROCHELLE (OFFICE MANAGER)
(864) 855-5104
Entity
Organization
Contact information
Practice address
112 JOHN ST, STE 201, EASLEY, SC 29640-1472
(864) 855-5104
(864) 859-9362
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
Other
Enumeration date
09/14/2010
Last updated
09/15/2010
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