Individual
SANDRA R LOVE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
877 W FARIS RD, SUITE D, GREENVILLE, SC 29605-4254
(864) 455-9050
(864) 455-9017
Mailing address
ONE INDEPENDENCE POINTE, SUITE 212, GREENVILLE, SC 29615-4566
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16551
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
165519
—
SC
01
—
5237092
AETNA
SC
01
—
576007863063
BCBS OF SC
SC
01
—
P00186717
RR MEDICARE
SC
Enumeration date
05/26/2006
Last updated
06/24/2011
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