Individual
MEREDITH TODD RIVENBARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
890 W FARIS RD STE 100, GREENVILLE, SC 29605-4285
(864) 455-2888
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8614
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
3554
SC
363A00000X
Physician Assistant
Primary
3554
SC
Other
Enumeration date
06/30/2020
Last updated
06/02/2021
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