Organization
UPSTATE BARIATRICS CLINIC
Active
Other names
Upstate Bariatrics clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KURT GANDENBERGER (MEDICAL DOCTOR)
(864) 269-2400
Entity
Organization
Contact information
Practice address
6 HALTER DRIVE, PIEDMONT, SC 29673-2196
(864) 269-2400
(864) 269-2288
Mailing address
6 HALTER DRIVE, PIEDMONT, SC 29673-2196
(864) 269-2400
(864) 269-2288
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
143918
SC
Other
Enumeration date
05/15/2012
Last updated
05/15/2012
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