Organization
PHYSICIAN THERAPEUTIC INFUSIONS OF THE UPSATE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW PATRICK ELLIOTT MD (PRESIDENT)
(864) 431-1958
Entity
Organization
Contact information
Practice address
107 PROFESSIONAL CT, ANDERSON, SC 29621-2052
(864) 431-1958
Mailing address
102 ARDEN CHASE, ANDERSON, SC 29621-1593
(864) 431-1958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
04/15/2018
Last updated
04/15/2018
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