Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207U00000X | Nuclear Medicine Specialist | 14841 | SC |
NPI | 1265480495 |
---|---|
Provider Name | Dr. Samuel Elias Friedman |
First Address | Greenville, SC 29601-2842 |
Second Address | Columbia, SC 29220-0001 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/05/2006 |
Last Update Date | 07/06/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
148414 | (05) | SC |
C76110 | (02) | SC |