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1003556226
MATA ADAMS
GREENVILLE, SC
NPI
1003556226
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208000000X Pediatrics
(Licence: SC LL87517)
Enumeration Date
2022-03-29
Last Update Date
2022-07-07
Business Address
MATA ADAMS
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number: 864-455-7895
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Mailing Address
MATA ADAMS
701 GROVE RD
GREENVILLE, SC 29605-4210
Phone number:
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