Upstate Adult & Adolescent Medicine

LBN: Upstate Adult & Adolescent Medicine
Upstate Adult & Adolescent Medicine is an health care organization with primary practice located at 540 Old Howell Rd , Greenville SC 29615-1969. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Upstate Adult & Adolescent Medicine can be contacted via phone (864) 235-9005, or through Traurig, Michael Jay via phone (864) 235-9008.

Contact Information

Primary practice address
540 Old Howell Rd Greenville SC 29615-1969
Phone: (864) 235-9005
Fax: (864) 235-9166
Website:
Map and Directions
Authorized official contact:
Name: Traurig, Michael Jay Doctor of Medicine (MD)
Phone: (864) 235-9008

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 18210 South Carolina

Profile Details

NPI number 1841269503
LBN Legal business name Upstate Adult & Adolescent Medicine
DBA Doing business as
Authorized official Traurig, Michael Jay Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Aug 22nd, 2020 - about 6 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 1841269503 NPPES
South Carolina MEDICAID GP3063

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