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PETER G MANOS MD LLC NPI 1811170178


NPI Information

NPI: 1811170178
Provider Name: PETER G MANOS MD LLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
10 ENTERPRISE BLVD STE 207
GREENVILLE, SC
ZIP 29615
Phone: (864) 458-8980
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PETER G MANOS MD LLC is a family medicine in Greenville, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. PETER G MANOS MD LLC NPI is 1811170178. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

10 ENTERPRISE BLVD STE 207
GREENVILLE, SC
ZIP 29615-554
Phone: (864) 458-8980
Fax: (864) 458-8984

The provider's authorized official is Lee Ann Vieira .
The authorized official title is Practice Manager and has the following contact phone number (864) 458-8980.

The enumeration date for this NPI number is 12/10/2007 and was last updated on 12/11/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineSC4107SOUTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1D05531MEDICARE UPINSOUTH CAROLINA
27293MEDICARE PINSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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