MEDICARE: DR. CLARA ELISABETH GULYAS M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207PE0004X	Emergency Medical Services (Emergency Medicine) Physician	12746	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1629294798
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARA ELISABETH GULYAS M.D.

Provider Business Mailing Address
First Line	:	1032 LAKEVIEW CIR
Second Line	:
City	:	GREER
State	:	SC
Zip	:	29651-6046
Country	:	US
Telephone Number	:	864-879-3830
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 WALL ST
Second Line	:
City	:	PIEDMONT
State	:	SC
Zip	:	29673-6754
Country	:	US
Telephone Number	:	864-295-8714
Fax Number	:	864-295-8764

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2007
Last Update Date	:	01/23/2018

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