Healthcare Provider Details

I. General information

NPI: 1639106990
Provider Name (Legal Business Name): CLAUDIO GUARESCHI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2006
Last Update Date: 05/31/2024
Certification Date: 05/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1506 SPRING ST
GREENWOOD SC
29646-4071
US

IV. Provider business mailing address

105 VINECREST CT # 500
GREENWOOD SC
29646-8031
US

V. Phone/Fax

Practice location:
  • Phone: 864-725-7900
  • Fax: 864-725-7910
Mailing address:
  • Phone: 864-725-7900
  • Fax: 864-725-7910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208G00000X
TaxonomyThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
License Number22656
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: