Individual
MELMOTH SUHR PATTERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
106 PARKVIEW DR, LAURENS, SC 29360-2652
(864) 984-0571
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
7068
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
070684
—
SC
01
—
080093067
RR MEDICARE
SC
Enumeration date
09/06/2006
Last updated
07/22/2013
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