Upstate Medical Associates Pa

NPI 1689871170 - Physician Assistant - 363A00000X

NPI Details
NPI 1689871170
Enumeration Date 06/28/2007
Last Updated 09/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name HENRY MATTHEWS HENRY
Position PRESIDENT
Phone (864) 886-2000
Fax (864) 888-3618
Practice Location
15575 WELLS HIGHWAY
SENECA SC, 29678, US
Phone (864) 886-2000
Fax (864) 888-3618
Business Location
15575 WELLS HIGHWAY
SENECA SC, 29678-1143, US
Phone (864) 886-2000
Fax (864) 888-3618
Toxanomy
Taxonomy Code 363A00000X
License State
License Number
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According to our database, Upstate Medical Associates Pa NPI is 1689871170, taxonomy code is 363A00000X Upstate Medical Associates Pa physically located at 15575 Wells Highway, Seneca SC, 29678. NPI Number 1033115704 has the healthcare provider type.

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1689871170 NPI number is provided on an as is basis without warranty of any kind. 1689871170 is maintained by the National Plan & Provider Enumeration System. The contents of Upstate Medical Associates Pa are for informational purposes only.