1477993384

Everything you always wanted to know about LEWIS GREENWOOD BRETT MD but were afraid to ask.

LEWIS GREENWOOD BRETT MD

You can also download the this 1477993384 data report as csv | excel | json | xml
Provider Last Name Provider Middle Name Provider First Name Provider Credential
LEWIS GREENWOOD BRETT MD
Gender:
Male
Enumeration date:
2013-06-25
Last update date:
2016-12-21
Current as of:
Is sole proprietor?:
No
Is organization subpart?:
No
In PECOS?:
No
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Identifiers

identifier description issuer state
359409 Medicaid none SC
SC83177579 Medicare PIN none SC

Taxonomies

Taxonomy State License Number Primary?
207R00000X Internal Medicine SC LL35940 Y

Phone Numbers

Type Number
Mailing Address Telephone Number 8034346420
Practice Location Address Telephone Number 8034346771
Mailing Address Fax Number 8034341537
Practice Location Address Fax Number 8034341537

Addresses

Type Address City State Postal Country
Mailing Address 3555 HARDEN STREET EXT SUITE 320 COLUMBIA SC 29203 SC
Practice Location Address 14 MEDICAL PARK DRIVE 15 MEDICAL PARK, SUITE 300 COLUMBIA SC 29203 SC

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