Greenville Anesthesiology, Pa

LBN: Greenville Anesthesiology, Pa
Greenville Anesthesiology, Pa is an health care organization with primary practice located at 1007 Grove Rd , Greenville SC 29605-4630. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as the primary health care specialty. Greenville Anesthesiology, Pa can be contacted via phone (864) 242-4602, or through Boukedes, Christopher via phone (864) 242-4602.

Contact Information

Primary practice address
1007 Grove Rd Greenville SC 29605-4630
Phone: (864) 242-4602
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Boukedes, Christopher Doctor of Medicine (MD)
Phone: (864) 242-4602

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X

Profile Details

NPI number 1679512651
LBN Legal business name Greenville Anesthesiology, Pa
DBA Doing business as
Authorized official Boukedes, Christopher Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 23rd, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679512651 NPPES
South Carolina MEDICAID GP0382

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