Individual
IRENA GRIBOVSKAJA-RUPP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1333 TAYLOR ST STE 5F, COLUMBIA, SC 29201-2951
(803) 748-9966
(803) 749-7174
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
MD-42736
IA
208C00000X
Colon & Rectal Surgery Physician
Primary
92626
SC
208C00000X
Colon & Rectal Surgery Physician
MD-42736
IA
Other
Enumeration date
04/08/2007
Last updated
08/26/2024
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