Individual
DR. JOACHIM E HERTEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
29 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 220-1200
(864) 220-1888
Mailing address
29 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 220-1200
(864) 220-1888
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD23113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000510309AT
—
GA
05
—
000510309AU
—
GA
05
—
000510309AV
—
GA
05
—
000510309AW
—
GA
05
—
000510309AX
—
GA
05
—
000510309AY
—
GA
05
—
000510309AZ
—
GA
05
—
000510309BA
—
GA
05
—
000510309BB
—
GA
05
—
000510309BC
—
GA
05
—
000510309BD
—
GA
05
—
000510309C
—
GA
05
—
000510309F
—
GA
05
—
000510309I
—
GA
05
—
000510309L
—
GA
05
—
000510309P
—
GA
05
—
000510309R
—
GA
05
—
000510309U
—
GA
05
—
G35093
—
SC
05
—
G35903
—
SC
Enumeration date
12/22/2005
Last updated
12/03/2024
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