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Organization

UPSTATE BIRTH CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. J MEREINDA FISHER LM-CPM (OWNER)
(864) 354-8166
Entity
Organization

Contact information

Practice address
1250 WADE HAMPTON BLVD, SUITE C, GREENVILLE, SC 29615
(864) 354-8166
Mailing address
409 MADISON CREEK CT, LYMAN, SC 29365-1254
(864) 354-8166

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
008
SC

Other

Enumeration date
07/16/2010
Last updated
07/16/2010
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