Gresko, Andrew J

Gresko, Andrew J is an individual health care provider with primary practice located at 2376 Cypress Cir Suite 102, Conway SC 29526-8964. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology is his primary health care specialty. Gresko, Andrew J can be contacted via phone (843) 347-8953.

Contact Information

Primary practice address
2376 Cypress Cir Suite 102 Conway SC 29526-8964
Phone: (843) 347-8953
Fax: (843) 347-0226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology 207RC0001X 16174 South Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 16174 South Carolina

Profile Details

NPI number 1245231372
LBN Legal business name Gresko, Andrew J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Feb 21st, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1245231372 NPPES
South Carolina MEDICAID 161746
South Carolina Other P01204804

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