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NPI Code Detail

MEDICARE: DR. RALPH DAREN MARIONNEAUX M.D.

MEDICARE:  DR. RALPH DAREN MARIONNEAUX  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
1207Q00000XFamily Medicine Physician40711SC

General Provider Information

NPI Number : 1215946140
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RALPH DAREN MARIONNEAUX M.D.
Provider Business Mailing Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line :
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-989-1432
Fax Number : 864-989-1462
Provider Business Practice Location Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line :
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-989-1432
Fax Number : 864-989-1462
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/07/2006
Last Update Date : 11/11/2025

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Directions to “ DR. RALPH DAREN MARIONNEAUX M.D.” Practice Location

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