Individual
MRS. KIMBERLY B PUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
22725 HIGHWAY 76 E STE A, CLINTON, SC 29325-7527
(864) 833-4545
(864) 833-6443
Mailing address
300 E MCBEE AVE STE 401, GREENVILLE, SC 29601-2842
(864) 522-8602
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
16440
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
164404
—
SC
01
—
P00813753
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
05/02/2006
Last updated
11/03/2021
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