UPSTATE CAROLINA MEDICAL LLC

CLEMSON, SC
NPI1457002123
Entity TypeOrganization
Authorized ContactJESSICA VASSALLO
Owner/ Nurse Practitioner
864-903-9604
Organization Subpart ?No
Primary Taxonomy363L00000X Nurse Practitioner
Enumeration Date2022-01-14
Last Update Date2022-06-01
Business Address
UPSTATE CAROLINA MEDICAL LLC
144 THOMAS GREEN BLVD STE 232
CLEMSON, SC 29631-2291
Phone number: 864-722-5203
Mailing Address
UPSTATE CAROLINA MEDICAL LLC
144 THOMAS GREEN BLVD STE 232
CLEMSON, SC 29631-2291
Phone number: 864-722-5203
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