Individual
TENY HENRY GOMEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-4210
(864) 455-3287
(864) 455-5723
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
Primary
38515
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
385158
—
SC
Enumeration date
08/02/2011
Last updated
05/26/2021
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