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NPI Code Detail

MEDICARE: DR. STEPHEN L GARRELL MD

MEDICARE: DR. STEPHEN L GARRELL MD
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
1207RN0300XNephrology PhysicianSC8235SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1P00314309OTHERSCRAIL ROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
320053686OTHERSCSELECT HEALTH
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184604605
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. STEPHEN L GARRELL MD
Provider Business Mailing Address
First Line : 322 N PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-5099
Fax Number : 864-327-1098
Provider Business Practice Location Address
First Line : 322 N PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-1631
Country : US
Telephone Number : 864-582-5099
Fax Number : 864-327-1098
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/19/2006
Last Update Date : 04/14/2008

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Directions to “ DR. STEPHEN L GARRELL MD” Practice Location

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