Individual
LOUIE JOSEPH SCALISE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
200 PATEWOOD DR STE B300, GREENVILLE, SC 29615-6338
(864) 454-4200
(864) 454-4205
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26840
SC
363LF0000X
Family Nurse Practitioner
AP61041141
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PENDING
—
SC
Enumeration date
06/08/2020
Last updated
02/01/2023
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