Organization
INTERNAL MEDICINE AND CARDIOLOGY
Active
Other names
Peace Medical Center
Organization subpart
No
Provider details
NPI number
Authorized official
VINITA SRIVASTAVA MD (MEDICAL DIRECTOR / PRACTICE OWNER)
(864) 233-2744
Entity
Organization
Contact information
Practice address
401 GUESS ST, SUITE 100, GREENVILLE, SC 29605-4155
(864) 233-2744
Mailing address
401 GUESS ST, SUITE 100, GREENVILLE, SC 29605-4155
(864) 233-2744
(864) 233-7359
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2379
—
SC
Enumeration date
06/30/2006
Last updated
04/03/2023
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