| Piedmont Gastroneterology Pa | |
|
9 Hawthorne Park Ct Greenville SC 29615-3194 | |
| (864) 286-1040 | |
| (864) 286-1090 |
| Full Name | Piedmont Gastroneterology Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 9 Hawthorne Park Ct, Greenville, South Carolina |
| Authorized Official Name and Position | Terrie Huggins Walker (ADMINSITRATOR) |
| Authorized Official Contact | 8642861040 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Piedmont Gastroneterology Pa 217 Sandy Point Dr Anderson SC 29625-6588 Ph: (864) 449-8166 | Piedmont Gastroneterology Pa 9 Hawthorne Park Ct Greenville SC 29615-3194 Ph: (864) 286-1040 |
| NPI Number | 1184693061 |
|---|---|
| Provider Enumeration Date | 03/14/2006 |
| Last Update Date | 11/06/2007 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184693061 | NPI | - | NPPES |
| GP1375 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (South Carolina) | Primary |
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