Individual
GREGORY SCOTT ILES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
135 COMMONWEALTH DR STE 120, GREENVILLE, SC 29615-4881
(864) 675-4600
Mailing address
135 COMMONWEALTH DR STE 120, GREENVILLE, SC 29615-4881
(864) 675-4600
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5182
SC
Other
Enumeration date
12/30/2015
Last updated
08/09/2024
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