Individual
DR. THAER A JOUDEH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3919 S HIGHWAY 14, BLDG A, GREENVILLE, SC 29615-6138
(864) 288-2006
(864) 288-1678
Mailing address
3919 S HIGHWAY 14, BLDG A, GREENVILLE, SC 29615-6138
(864) 288-2006
(864) 288-1678
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
21696
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
216965
—
SC
Enumeration date
04/12/2006
Last updated
03/23/2016
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