Organization
IMG CLINIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD FENNEL MD (MEDICAL DIRECTOR)
(864) 293-8712
Entity
Organization
Contact information
Practice address
2510 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1168
(864) 268-8196
Mailing address
610 W 11TH ST, TRAVERSE CITY, MI 49684-3150
(313) 314-0617
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/17/2022
Last updated
02/17/2022
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