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Organization

PIEDMONT INTERNAL MED PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
KAREN PRICE (OFFICE MANAGER)
(864) 227-1115
Entity
Organization

Contact information

Practice address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
Mailing address
104 LINER DR, GREENWOOD, SC 29646-2310
(864) 227-1115
(864) 227-2046

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PA1925
SC
Enumeration date
09/30/2005
Last updated
10/10/2007
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