Individual
MONICA MARROQUIN GREENBAUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 220-7270
(864) 220-7290
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044
(864) 797-6198
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
36276
SC
208000000X
Pediatrics Physician
MD44444
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1515175
—
TN
Enumeration date
08/31/2006
Last updated
09/05/2013
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