| Division Of Reproductive Endocrinology & Infertility | |
|
890 W Faris Rd Suite 470 Greenville SC 29605-4247 | |
| (864) 455-1600 | |
| (864) 455-3095 |
| Full Name | Division Of Reproductive Endocrinology & Infertility |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 890 W Faris Rd, Greenville, South Carolina |
| Authorized Official Name and Position | Paul Bruce Miller (STAFF PHYSICIAN) |
| Authorized Official Contact | 8644551600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Division Of Reproductive Endocrinology & Infertility 890 W Faris Rd Suite 470 Greenville SC 29605-4247 Ph: (864) 455-1600 | Division Of Reproductive Endocrinology & Infertility 890 W Faris Rd Suite 470 Greenville SC 29605-4247 Ph: (864) 455-1600 |
| NPI Number | 1710944749 |
|---|---|
| Provider Enumeration Date | 04/26/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710944749 | NPI | - | NPPES |
| 193481 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | 19348 (South Carolina) | Primary |
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