| |
552 Hyatt Street Greenville SC 29615-4614 | |
(615) 468-6548 | |
(615) 468-0477 |
Full Name | |
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Speciality | Clinic/center |
Location | 552 Hyatt Street, Greenville, South Carolina |
Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
Authorized Official Contact | 2164799063 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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5500 Maryland Way Brentwood TN 37027-4948 Ph: (615) 468-6548 | 552 Hyatt Street Greenville SC 29615-4614 Ph: (615) 468-6548 |
NPI Number | 1295157139 |
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Provider Enumeration Date | 01/13/2014 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
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1295157139 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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