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Individual

PAUL CHARLES SIFFRI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 PATEWOOD DR STE C100, GREENVILLE, SC 29615-6322
(864) 454-7422
(864) 454-8265
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603

Taxonomy

Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
27666
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
276668
SC
01
576007863130
BLUECHOICE HEALTHPLAN ID
SC
01
576007863158
BCBS OF SC ID
SC
01
7386697
AETNA ID
SC
01
P00288148
RR MEDICARE
SC
01
P00802347
RR MEDICARE
SC
Enumeration date
05/17/2006
Last updated
05/13/2021
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