Individual
JAN ALDRIN GUEVARRA ENABORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
82499
SC
207P00000X
Emergency Medicine Physician
LL82499
SC
207PP0204X
Pediatric Emergency Medicine (Emergency Medicine) Physician
MD82499
SC
Other
Enumeration date
05/28/2019
Last updated
07/26/2024
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