Internal Medicine And Cardiology
Clinical Nurse Specialist, Gerontology in Greenville, SC. Organization (NPI-2).
NPI number1477970010
StatusActive
Last updated in NPPESMar 20, 2014
Details
- NPI
- 1477970010
- Entity type
- Organization (NPI-2)
- Legal business name
- Internal Medicine And Cardiology
- Organization subpart
- No
- Enumeration date
- Mar 20, 2014
- Last updated
- Mar 20, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 364SG0600X | Clinical Nurse Specialist, Gerontology | 18695 | SC | Yes |
Other names
- Peace Medical Center (Doing Business As)
Practice location
401 Guess StSte 100
Greenville, SC 29605-4155
Phone 864-233-2744 · Fax 864-331-2896
Mailing address
401 Guess StSte 100
Greenville, SC 29605-4155
Phone 864-233-2744 · Fax 864-331-2896
Authorized official
Vinita Srivastava
Medical Director
8642332744
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