Organization
GREENVILLE MEDICAL ASSOCIATES, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NAVEEN REDDY BETHI MD (PRESIDENT)
(864) 901-5876
Entity
Organization
Contact information
Practice address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 299-1990
(864) 299-9123
Mailing address
545 W BUTLER RD, GREENVILLE, SC 29607-4833
(864) 299-1990
(864) 299-9123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
20540
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
APRN 20540
SC STATE LICENSE
SC
Enumeration date
10/25/2016
Last updated
10/25/2016
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