PROVIDENT EAR NOSE AND THROAT LLC
Medical Practice at Venture Dr, Greenville, SC

License number
South Carolina 18523
Category
Medical Practice
Type
Otolaryngology
Owner
Name: MR. WILLIAM MICHAEL GREENE MD
Title: OWNER
Phone: (864) 284-9869
Address
Address
101 S Venture Dr, Greenville, SC 29615
National Provider ID: 1922236074
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROVIDENT EAR NOSE AND THROAT LLC

101 S Venture Dr, Greenville, SC 29615

Industry:
Pediatric Ent, Ent
Registration:
May 26, 2009
Phone:
(864) 284-9869 (Phone)
Description:
Physicians office
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Angie Smith
Agent:
W. Michael Greene
Licensed:
Yes
Senior discount:
No
Open Hours:
By Appointment

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