Organization
PETER G MANOS MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LEE ANN VIEIRA (PRACTICE MANAGER)
(864) 458-8980
Entity
Organization
Contact information
Practice address
10 ENTERPRISE BLVD STE 207, GREENVILLE, SC 29615-3554
(864) 458-8980
(864) 458-8984
Mailing address
10 ENTERPRISE BLVD STE 207, GREENVILLE, SC 29615-3554
(864) 458-8980
(864) 458-8984
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
SC4107
SC
Other
Enumeration date
12/10/2007
Last updated
12/11/2007
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