Organization
ANESTHESIOLOGY CONSULTANTS OF THE UPSTATE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GREGORY L ENDERS MD (PRESIDENT)
(864) 882-3351
Entity
Organization
Contact information
Practice address
298 MEMORIAL DR, SENECA, SC 29672-9443
(864) 882-3351
Mailing address
PO BOX 2585, COLUMBUS, GA 31902-2585
(706) 660-8505
(706) 660-9390
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2991
—
SC
05
—
GP4089
—
SC
Enumeration date
07/28/2006
Last updated
05/01/2013
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