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1790121424
PHILIP ANDRE FONTENOT
GREENVILLE, SC
NPI
1790121424
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208800000X Urology
(Licence: SC 51583)
Enumeration Date
2013-05-21
Last Update Date
2018-06-28
Business Address
Dr. PHILIP ANDRE FONTENOT M.D.
50 BEAR DR
GREENVILLE, SC 29605
Phone number: 864-295-2131
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Mailing Address
Dr. PHILIP ANDRE FONTENOT M.D.
50 BEAR DR
GREENVILLE, SC 29605-4458
Phone number: 864-295-2131
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