Organization
MOBILE MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJA PALADUGU M.D. (MEDICAL DIRECTOR)
(864) 436-1021
Entity
Organization
Contact information
Practice address
160 HAROLD FLEMING CT, SPARTANBURG, SC 29303-4226
(864) 594-9600
Mailing address
325 HANSA LN, GREER, SC 29650-4549
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19254
SC
363LF0000X
Family Nurse Practitioner
19705
SC
Other
Enumeration date
11/29/2016
Last updated
11/29/2016
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