NPI 1477970010

Internal Medicine and Cardiology

Organisation Gerontology Clinical Nurse Specialist Greenville, SC

Practice location

Address: 401 Guess St STE 100, Greenville, SC 29605-4155
Phone: (864) 233-2744
Fax: (864) 331-2896

Authorised official

Name: Vinita Srivastava
Title: Medical Director
Phone: (864) 233-2744

Registered specialties

Gerontology Clinical Nurse Specialist Primary

Physician Assistants & Advanced Practice Nursing Providers Taxonomy 364SG0600X Licence 18695 (SC)

Other Clinical Nurse Specialist providers in South Carolina →

Registry record

NPI: 1477970010
Entity type: Organization
NPI issued: 20 Mar 2014
Record last updated: 20 Mar 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.