Individual
DOLORES PATRICIA MENDELOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 W MAIN ST, GREENVILLE, SC 29611-4215
(864) 220-7270
(864) 241-9211
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36382
SC
208000000X
Pediatrics Physician
4301056744
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2813155
—
MI
05
—
363822
—
SC
05
—
PENDING
—
SC
Enumeration date
07/27/2006
Last updated
06/14/2021
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