Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | 39275 | SC |
Y | 2086S0105X | Surgery of the Hand | 39275 | SC |
NPI | 1144547589 |
---|---|
Provider Name | Dr. Gregory Knowlton Faucher |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29615-4240 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/04/2010 |
Last Update Date | 14/09/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
392756 | (05) | SC |