Organization
UPSTATE MATERNAL-FETAL MEDICINE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JAN BROWN (BUSINESS MANAGER)
(864) 331-3230
Entity
Organization
Contact information
Practice address
373 HALTON ROAD, GREENVILLE, SC 29607
(864) 331-3230
(864) 331-3236
Mailing address
373 HALTON ROAD, GREENVILLE, SC 29607
(864) 331-3230
(864) 331-3236
Taxonomy
Speciality
Code
Description
License number
State
207VM0101X
Maternal & Fetal Medicine Physician
Primary
18319
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3349
—
SC
Enumeration date
09/22/2006
Last updated
08/22/2020
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