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Madison Little

Obstetrics & Gynecology in Greenville, SC. Individual provider (NPI-1).

NPI number1982309647
StatusActive
Last updated in NPPESJul 12, 2023

Details

NPI
1982309647
Entity type
Individual (NPI-1)
Name
Madison Little
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 3, 2023
Certification date
Jul 12, 2023
Last updated
Jul 12, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207V00000X Obstetrics & GynecologyLL90112SCYes

Practice location

890 W Faris Rd
Greenville, SC 29605-4253

Phone 864-455-7887

Mailing address

890 W Faris Rd
Greenville, SC 29605-4253

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