Organization
CLINICA MATERNAL DE GREENVILLE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROSALBA GOMEZ (BUISNESS ADMINISTRATOR)
(678) 492-8477
Entity
Organization
Contact information
Practice address
3204 WHITE HORSE RD, SUITE D, GREENVILLE, SC 29611-5916
(864) 220-4222
Mailing address
3204 WHITE HORSE RD, SUITE D, GREENVILLE, SC 29611-5916
(864) 220-4222
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
17267
SC
Other
Enumeration date
10/17/2015
Last updated
10/17/2015
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