Stoneview Internal Medicine PA

NPI #1790845675 in Simpsonville, South Carolina

Provider Information

NPI Number: 1790845675
Entity Type: Organization
Organization Name: Stoneview Internal Medicine PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 11, 2006
Last Updated: Jun 18, 2012

Practice Location

Address: 727 E MAIN STREET SUITE 300
City: Simpsonville
State: South Carolina
ZIP Code: 29681-0279
Phone: (864) 963-8002

Authorized Official

Name: MR. MARCUS E BLACKSTONE, MD
Title: PRESIDENT
Phone: (864) 963-8002

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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