Organization
CAROLINA INTERNAL MEDICINE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUDHIRKUMAR PATEL MD (OWNER)
(864) 271-3930
Entity
Organization
Contact information
Practice address
1208 AUGUSTA STREET, GREENVILLE, SC 29611
(864) 271-3930
(864) 232-2384
Mailing address
1208 AUGUSTA ST, GREENVILLE, SC 29605-4024
(864) 271-3930
(864) 232-2384
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14686
SC
207R00000X
Internal Medicine Physician
19946
SC
207R00000X
Internal Medicine Physician
Primary
7609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3830
—
SC
Enumeration date
08/30/2006
Last updated
03/05/2008
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