Individual
ADDISON RANDOLPH NILES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
701 GROVE ROAD, 5TH FLOOR SUPPORT TOWER, GREENVILLE, SC 29605
(864) 455-7882
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
85939
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
05/06/2021
Last updated
05/01/2025
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