Organization
CYBER GALENUS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY L BURCHIT CBCS (BILLING MANATER)
(864) 626-3374
Entity
Organization
Contact information
Practice address
3445 PELHAM RD STE B, GREENVILLE, SC 29615-4194
(864) 230-3823
Mailing address
3445 PELHAM RD STE B, GREENVILLE, SC 29615-4194
(864) 230-3823
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1609204395
IND NPI
SC
Enumeration date
03/30/2021
Last updated
03/30/2021
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