Individual
DR. KEVIN J MEWBORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD, GREENVILLE, SC 29605-5611
(864) 455-7000
Mailing address
701 CARRIAGE HILL RD, SIMPSONVILLE, SC 29681-5281
(864) 675-6153
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
23198
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
231984
—
SC
Enumeration date
04/11/2006
Last updated
07/08/2007
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