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1356399604
RICHARD SIDDALL PENNEBAKER
GREENVILLE, SC
NPI
1356399604
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: SC 12799)
Enumeration Date
2006-05-05
Last Update Date
2011-09-14
Business Address
Dr. RICHARD SIDDALL PENNEBAKER M.D.
57 CROSS PARK COURT
GREENVILLE, SC 29605-4264
Phone number: 864-797-6044
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Mailing Address
Dr. RICHARD SIDDALL PENNEBAKER M.D.
ONE INDEPENDENCE POINTE SUITE 212
GREENVILLE, SC 29615-4566
Phone number: 864-797-6044
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