GREENVILLE AGE MANAGEMENT MEDICAL INSTITUTE, LLC

GREENVILLE, SC
NPI1275963175
Entity TypeOrganization
Authorized ContactMARCELA YOUNG
Owner
864-365-0100
Organization Subpart ?No
Primary Taxonomy261QP2300X Clinic/Center, Primary Care
(Licence: SC  14183)
Enumeration Date2013-11-14
Last Update Date2013-11-14
Business Address
GREENVILLE AGE MANAGEMENT MEDICAL INSTITUTE, LLC
540 OLD HOWELL RD
GREENVILLE, SC 29615-1969
Phone number: 864-365-0100
Mailing Address
GREENVILLE AGE MANAGEMENT MEDICAL INSTITUTE, LLC
540 OLD HOWELL RD
GREENVILLE, SC 29615-1969
Phone number:
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