Most Relevant Information
Provider Data
| NPI Number: | 1003251166 |
| Provider Name: | ANDRE C EADDY M.D., PH.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 390200000X |
| Specialty: | Student in an Organized Health Care Education/Training Program |
| License Number: |
Most Important Dates
| Enumeration Date: | 05/02/2013 |
| Last Updated: | 06/04/2021 |
Provider Practice Location
890 W FARIS RD STE 100
GREENVILLE
SC
296054285
Practice Location Phone/Fax
| Phone: | 8644552888 |
| Fax: | 8644552885 |
Provider Mailing Location
300 E MCBEE AVE FL 4
GREENVILLE
SC
296012842
Provider Mailing Phone/Fax
| Phone: | 8645228603 |
| Fax: |