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Individual

BRONWEN SANDERSON GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
200 PATEWOOD DR, SUITE A120, GREENVILLE, SC 29615-3593
(864) 454-2670
(864) 454-2679
Mailing address
1 INDEPENDENCE PT, SUITE 212, GREENVILLE, SC 29615-4545
(864) 797-6044

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23475
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
234758
SC
01
571004971024
BCBS OF SC
SC
01
571004971027
BLUE CHOICE OF SC
SC
01
6948093
CIGNA
SC
01
7398559
AETNA
SC
Enumeration date
06/15/2006
Last updated
08/07/2013
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