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1025 Verdae Blvd Suite A Greenville SC 29607-4032 | |
| (864) 242-4683 | |
| (864) 240-8104 |
| Full Name | |
|---|---|
| Speciality | Internal Medicine |
| Location | 1025 Verdae Blvd, Greenville, South Carolina |
| Authorized Official Name and Position | Polly H Miller (VP OF PAYOR STRATEGIES & ALIGNMENT) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
1025 Verdae Blvd Suite A Greenville SC 29607-4032 Ph: (864) 242-4683 | 1025 Verdae Blvd Suite A Greenville SC 29607-4032 Ph: (864) 242-4683 |
| NPI Number | 1083787006 |
|---|---|
| Provider Enumeration Date | 11/16/2006 |
| Last Update Date | 08/20/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083787006 | NPI | - | NPPES |
| GP4671 | Medicaid | SC |
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