Individual
DR. PAUL DECLERCK
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 PELHAM RD, GREENVILLE, SC 29615-3300
(864) 234-5800
Mailing address
800 PELHAM RD, GREENVILLE, SC 29615-3300
(864) 234-5800
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26803
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
268034
—
SC
Enumeration date
03/25/2006
Last updated
07/08/2007
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