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General NPI Number Information
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NPI Number | 1417839754
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Entity Type | Organization
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Legal Business Name | PSGSC MSSP, P.C.
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Dates
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Enumeration Date | 07/25/2025
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Last Update Date | 07/25/2025
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Provider Practice Location Address
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Address Line | 2 GRIFFITH RD
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City | GREENVILLE
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State | SC
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Zip | 29607-3503
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Country | US
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Telephone | 864-316-8984
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Fax |
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Provider Business Mailing Address
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Address Line | 8595 PELHAM ROAD SUITE 400 #320
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City | GREENVILLE
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State | SC
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Zip | 29615
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER & PRESIDENT
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Name | FRANK J NEWLANDS, M.D.
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Credential |
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Telephone | 864-316-8984
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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