Individual
MS. PAULINE E BELLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
111 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7100
(864) 797-7133
Mailing address
111 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7100
(864) 797-7133
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
297
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0604PA
—
SC
Enumeration date
08/12/2006
Last updated
01/19/2010
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