PROVIDENT EAR NOSE AND THROAT LLC

GREENVILLE, SC
NPI1922236074
Entity TypeOrganization
Authorized ContactWILLIAM MICHAEL GREENE
Owner
864-284-9869
Organization Subpart ?No
Primary Taxonomy207Y00000X Otolaryngology
(Licence: SC  18523)
Enumeration Date2009-06-29
Last Update Date2014-12-18
Business Address
PROVIDENT EAR NOSE AND THROAT LLC
101 S VENTURE DR
GREENVILLE, SC 29615-3571
Phone number: 864-232-4846
Mailing Address
PROVIDENT EAR NOSE AND THROAT LLC
101 S VENTURE DR
GREENVILLE, SC 29615-3571
Phone number: 864-284-9869
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