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Contact Information

GREGORY TARASIDIS, MD
1015 SPRING ST
GREENWOOD, SC29646
 Phone: 864-227-6741
 Fax: 864-227-2026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GREGORY TARASIDIS · (Male)

NPI Number 1588748321
Status Active
Credentials MD
Entity Individual
Enumeration date 10/25/2006
Last updated 10/09/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • SC License # 20020
  • SC Medicaid PA1122
Hospital affiliation(s)
  • LAURENS COUNTY HEALTHCARE SYSTEM - (Acute Care)
    22725 HIGHWAY 76 EAST
    CLINTON, SC 29325
  • SELF REGIONAL HEALTHCARE - (Acute Care)
    1325 SPRING STREET
    GREENWOOD, SC 29646
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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