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1508968934
MICHAEL JOSEPH TEBALT
SENECA, SC
NPI
1508968934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: SC 25822)
Enumeration Date
2006-09-05
Last Update Date
2015-06-25
Business Address
-- MICHAEL JOSEPH TEBALT MD
298 MEMORIAL DR
SENECA, SC 29672-9443
Phone number: 864-885-7532
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Mailing Address
-- MICHAEL JOSEPH TEBALT MD
1 INDEPENDENCE PT SUITE 212
GREENVILLE, SC 29615-4545
Phone number: 864-797-6044
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