Organization
NIAS INC.
Active
Other names
BodyLogicMD of Greenville
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH ORBECK DO (DIRECTOR)
(877) 749-8832
Entity
Organization
Contact information
Practice address
300 EXECUTIVE CENTER DR, SUITE 200A, GREENVILLE, SC 29615-4519
(877) 341-7407
(877) 341-7408
Mailing address
300 EXECUTIVE CENTER DR, SUITE 200A, GREENVILLE, SC 29615-4519
(877) 341-7407
(877) 341-7408
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
513
SC
Other
Enumeration date
06/04/2010
Last updated
07/26/2011
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