Organization
GREENVILLE KIDNEY CENTER, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM C KENDRICK JR. M.D. (PRESIDENT)
(864) 220-1200
Entity
Organization
Contact information
Practice address
10 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4450
(864) 220-1200
(864) 220-1888
Mailing address
10 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4450
(864) 220-1200
(864) 220-1888
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
9047
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC3554
—
SC
Enumeration date
08/31/2006
Last updated
02/12/2008
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