Provider Information for 1154034080
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ATREUS LLC
Other Names:Doing Business As:ATREUS MEDICAL AND SURGICAL ASSOCIATESOrganization Subpart: NO
NPI: 1154034080
Last Updated: 2023-09-06
Certification Date: 2023-01-04
Certification Date: 2023-01-04
Details
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| NPI | 1154034080 | ||||||||||||||||||||||||||||
| Enumeration Date | 2023-01-05 | ||||||||||||||||||||||||||||
| NPI Type | NPI-2 Organization | ||||||||||||||||||||||||||||
| Status | Active | ||||||||||||||||||||||||||||
| Authorized Official Information | Name: DANIEL FREDERICK BOXWELL DO Title: President/CEO Phone: 2483103473 | ||||||||||||||||||||||||||||
| Mailing Address | 215 STORK WAY SENECA, SC 29678-1039 United States Phone: | Fax: | ||||||||||||||||||||||||||||
| Primary Practice Address | 215 STORK WAY SENECA, SC 29678-1039 United States Phone: 248-310-3473 | Fax: | ||||||||||||||||||||||||||||
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