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Organization

WOODLANDS MEDICAL CLINIC PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RUPERT MCCORMAC IV MD (OWNER)
(864) 517-2066
Entity
Organization

Contact information

Practice address
155 BROZZINI CT, SUITE E, GREENVILLE, SC 29615-5340
(864) 517-2066
(800) 694-5720
Mailing address
155 BROZZINI CT, SUITE E, GREENVILLE, SC 29615-5340
(864) 517-2066
(800) 694-5720

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Enumeration date
01/05/2010
Last updated
01/05/2010
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