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Contact Information

ANDRE C EADDY, M.D., PH.D.
890 W FARIS RD STE 100
GREENVILLE, SC29605-4285
 Phone: 864-455-2888
 Fax: 864-455-2885
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
 

Student in an Organized Health Care Education/Training Program

390200000X
Indicates primary specialty

NPI Profile & details for ANDRE C EADDY · (Male)

NPI Number 1003251166
Status Active
Credentials M.D., PH.D.
Entity Individual
Enumeration date 05/02/2013
Last updated 06/04/2021 - About 5 years ago
Sole proprietor 1 Yes
Identifiers
  • SC License # 83292
  • SC Medicaid 832923
Hospital affiliation(s)
  • GREENVILLE MEMORIAL HOSPITAL - (Acute Care)
    701 GROVE RD
    GREENVILLE, SC 29605
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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