Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | A168962 | CA |
Y | 207RH0002X | Hospice and Palliative Medicine | 86712 | SC |
NPI | 1134582133 |
---|---|
Provider Name | Joshua Keais Pope |
First Address | Greenville, SC 29601-2842 |
Second Address | Greenville, SC 29605-4210 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/03/2016 |
Last Update Date | 18/10/2021 |