Individual
BARBARA SUE REPIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
11402 ANDERSON RD, GREENVILLE, SC 29611-7557
(864) 631-2799
(864) 522-1215
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
13476
SC
207Q00000X
Family Medicine Physician
13476
SC
207R00000X
Internal Medicine Physician
Primary
13476
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
134768
—
SC
01
—
P01178315
RAILROAD MEDICARE
SC
Enumeration date
05/05/2006
Last updated
02/16/2023
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