SOUTH CAROLINA RESEARCH GROUP LLC NPI 1104101054

NPI Information

  • NPI: 1104101054
  • Provider Name: SOUTH CAROLINA RESEARCH GROUP LLC
  • Classification: Psychiatry & Neurology - 2084A0401X
  • Specialization: Addiction Medicine
  • Entity Type: Organization
  • Address: 68 PARKWAY COMMONS WAY
    GREER, SC
    ZIP 29650
  • Phone: (864) 877-5688

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NPI Details

SOUTH CAROLINA RESEARCH GROUP LLC is an addiction medicine psychiatry neurology in Greer, SC. The provider is a doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine SOUTH CAROLINA RESEARCH GROUP LLC NPI is 1104101054. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

68 PARKWAY COMMONS WAY
GREER, SC
ZIP 29650-213
Phone: (864) 877-5688

The provider's authorized official is Sergio Alfredo Sanchez .
The authorized official title is Ceo and has the following contact phone number (864) 877-5688.

The enumeration date for this NPI number is 10/11/2011 and was last updated on 10/11/2011.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084A0401XPsychiatry & NeurologyAddiction Medicine27855SOUTH 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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1H53756MEDICARE PINSOUTH CAROLINA

What is NPI?

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This page was last updated on: 3/30/2025

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