Organization
OCONEE PHYSICIAN PRACTICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNE L WARD (PRESIDENT, CEO)
(864) 885-7191
Entity
Organization
Contact information
Practice address
301 MEMORIAL DR, SUITE G, SENECA, SC 29672-9491
(864) 885-7633
(864) 885-7867
Mailing address
PO BOX 601082, CHARLOTTE, NC 28260-1082
(864) 885-7633
(864) 885-7867
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP4697
—
SC
Enumeration date
05/11/2007
Last updated
03/05/2008
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