Organization · Type 2 NPI

Stone Plaza @ Mallard St.

Health Service Clinic/Center · Greenville, SC

NPI number 1821379546 Active

Practice location

124 Mallard St
Greenville, SC 29601-4046

Fax (864) 271-3483

Specialties and licenses

TaxonomyCodeLicense
Health Service Clinic/Center Primary 261QH0100XNone listed

Health Service Clinic/Center: Definition to come...

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About NPI 1821379546

Stone Plaza @ Mallard St.'s National Provider Identifier is 1821379546, issued on Sep 8, 2011. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Greenville, SC. The record was last updated on Sep 8, 2011.