Organization
GREENVILLE MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVEEN REDDY BETHI M.D (PRESIDENT)
(864) 901-5876
Entity
Organization
Contact information
Practice address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 236-9555
(864) 236-9551
Mailing address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 236-9555
(864) 236-9551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
21344
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T55491
—
SC
Enumeration date
08/04/2010
Last updated
08/07/2019
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