Individual
RENEE DARLENE JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
727 SE MAIN ST, SUITE 300, SIMPSONVILLE, SC 29681-3247
(864) 522-1170
(864) 522-1175
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35864
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
358641
—
SC
01
—
SC9018
MEDICARE
SC
Enumeration date
06/12/2013
Last updated
06/01/2021
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