Individual
PATRICIA A LANDRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
309 E 1ST AVE, EASLEY, SC 29640-3040
(864) 859-6331
(864) 855-1045
Mailing address
PO BOX 2089, EASLEY, SC 29641-2089
(864) 855-5104
(864) 859-9362
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16015
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
160159
—
SC
01
—
582296052-528
BLUE CROSS
SC
Enumeration date
05/19/2006
Last updated
02/27/2013
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