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NPI Code Detail

MEDICARE: RICHARD EMIL MORETZ MD

MEDICARE: RICHARD EMIL MORETZ 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
1208600000XSurgery Physician9068SC

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3P00676412OTHERSCRR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1576007863153OTHERSCBCBS OF SC
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1780639591
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD EMIL MORETZ MD
Provider Business Mailing Address
First Line : 1 INDEPENDENCE PT STE 212
Second Line :
City : GREENVILLE
State : SC
Zip : 29615-4536
Country : US
Telephone Number : 864-797-6174
Fax Number :
Provider Business Practice Location Address
First Line : 333 S PINE ST
Second Line :
City : SPARTANBURG
State : SC
Zip : 29302-2622
Country : US
Telephone Number : 864-591-1664
Fax Number : 864-577-0620
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/23/2006
Last Update Date : 11/21/2018

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