Upstate Adult & Adolescent Medicine in Greenville - Internal Medicine

Upstate Adult & Adolescent Medicine - NPI 1841269503

Upstate Adult & Adolescent Medicine is a Internal Medicine in Greenville, South Carolina. Upstate Adult & Adolescent Medicine practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Upstate Adult & Adolescent Medicine is 1841269503. The last update date is 2020-08-22.

Upstate Adult & Adolescent Medicine's current location address is 540 Old Howell Rd, Greenville, South Carolina. You can contact this provider via phone number 8642359005 and fax number 8642359166. The mailing address for Upstate Adult & Adolescent Medicine is 540 Old Howell Rd, Greenville, South Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Upstate Adult & Adolescent Medicine
Address 540 Old Howell Rd, Greenville, South Carolina
Phone Number 8642359005
Fax Number 8642359166
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT/
Authorized Official Name Traurig Jay Michael
Credentials MD
Telephone Number 8642359008

NPI Number Detail

NPI Number 1841269503
Provider Enumeration Date 2006-03-15
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 540 Old Howell Rd
City Greenville
State South Carolina (SC)
Post Code 296151969
Phone Number 8642359005
Fax Number 8642359166

Provider's Primary Taxonomy Detail

Speciality Internal Medicine
Taxonomy 207R00000X
Licence No 18210
Definition:
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GP3063 SC --

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FAQs about Upstate Adult & Adolescent Medicine

What is the unique 10-digit identification code assigned to Upstate Adult & Adolescent Medicine by the Centers for Medicare & Medicaid Services?

The Upstate Adult & Adolescent Medicine has been issued the NPI (National Provider Identifier) 1841269503, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete street address where Upstate Adult & Adolescent Medicine is physically located?

The Upstate Adult & Adolescent Medicine is physically situated at the following address: 540 Old Howell Rd, Greenville, SC, 296151969.

What is Upstate Adult & Adolescent Medicine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Upstate Adult & Adolescent Medicine is Internal Medicine, and the taxonomy classification code that categorizes this area of expertise is 207R00000X.

On what date did Upstate Adult & Adolescent Medicine receive its 1841269503 assignment from the Centers for Medicare & Medicaid Services?

The Upstate Adult & Adolescent Medicine was assigned its 1841269503 on 2006-03-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date were the details pertaining to Upstate Adult & Adolescent Medicine last refreshed?

The information related to the Upstate Adult & Adolescent Medicine, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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