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244 Terminal Rd Bldg 1045 Greenville SC 29605-5508 | |
(864) 299-7193 | |
(864) 299-7639 |
Full Name | |
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Speciality | Clinic/center |
Location | 244 Terminal Rd Bldg 1045, 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 Ste 400 Brentwood TN 37027-7048 Ph: (844) 407-7557 | 244 Terminal Rd Bldg 1045 Greenville SC 29605-5508 Ph: (864) 299-7193 |
NPI Number | 1033638531 |
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Provider Enumeration Date | 09/15/2017 |
Last Update Date | 08/23/2022 |
Identifier | Type | State | Issuer |
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1033638531 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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