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NPI Code Detail

MEDICARE: NATE JOHN NORMAND M.D.

MEDICARE: NATE JOHN NORMAND 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
1207R00000XInternal Medicine Physician22450SC
2208M00000XHospitalist Physician22450SC

General Provider Information

NPI Number : 1952369381
Entity Type Code : Individual
Provider Name (Legal Business Name) : NATE JOHN NORMAND M.D.
Provider Business Mailing Address
First Line : 300 E MCBEE AVE FL 4
Second Line :
City : GREENVILLE
State : SC
Zip : 29601-2842
Country : US
Telephone Number : 864-695-6294
Fax Number :
Provider Business Practice Location Address
First Line : 255 ENTERPRISE BLVD STE 101
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-3530
Country : US
Telephone Number : 864-454-8120
Fax Number : 864-454-8125
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2006
Last Update Date : 02/07/2024

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Directions to “ NATE JOHN NORMAND M.D.” Practice Location

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