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Individual

ERIC JAMES FAILE IV

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3909 S HIGHWAY 14, GREENVILLE, SC 29615-6138
(864) 627-8878
(864) 627-9114
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16084
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
160845
SC
01
5519125
AETNA
SC
01
571004971018
BCBS OF SC
SC
01
6991936
CIGNA
SC
01
80104687
RR MEDICARE
SC
Enumeration date
06/02/2006
Last updated
05/22/2015
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