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Contact Information

UPSTATE MATERNAL-FETAL MEDICINE, PA
373 HALTON ROAD
GREENVILLE, SC29607
 Phone: 864-331-3230
 Fax: 864-331-3236
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Maternal & Fetal Medicine

207VM0101X 16 Physician/Obstetrics & Gynecology
Indicates primary specialty

NPI Profile & details for UPSTATE MATERNAL-FETAL MEDICINE, PA

NPI Number 1669572434
LBN Legal business name UPSTATE MATERNAL-FETAL MEDICINE, PA
Authorized official JAN BROWN - (BUSINESS MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 09/22/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
SC License # 18319
SC Medicaid GP3349
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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