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210 W Stone Ave Lr3 Greenville SC 29609-5452 | |
(864) 275-0229 | |
(877) 608-5094 |
Full Name | |
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Speciality | Clinic/center |
Location | 210 W Stone Ave, Greenville, South Carolina |
Authorized Official Name and Position | Anthony Ruggiero (OWNER) |
Authorized Official Contact | 8642750229 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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210 W Stone Ave Lr3 Greenville SC 29609-5452 Ph: (864) 275-0229 | 210 W Stone Ave Lr3 Greenville SC 29609-5452 Ph: (864) 275-0229 |
NPI Number | 1750793519 |
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Provider Enumeration Date | 05/28/2014 |
Last Update Date | 05/28/2014 |
Identifier | Type | State | Issuer |
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1750793519 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | 5857 (South Carolina) | Primary |
261QP3300X | Clinic/center - Pain | 5857 (South Carolina) | Secondary |
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