Laurie Marie Theriot Roley
Family Doctor - Geriatric Medicine
255 Enterprise Blvd Suite 101
Greenville
, South Carolina 29615-6300
Laurie Marie Theriot Roley
Family Doctor - Geriatric Medicine
255 Enterprise Blvd Suite 101
Greenville
, South Carolina 29615-6300
(864) 522-8603
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About
Features
Specialties
- Family Doctor - Geriatric Medicine
Languages spoken
- English
Location
First Address
- Laurie Marie Theriot Roley
- 300 E Mcbee Ave Fl 4
- Greenville, SC
- Zip : 29601-2842
- Phone : (864) 522-8603
Second Address
- Laurie Marie Theriot Roley
- 255 Enterprise Blvd Suite 101
- Greenville, SC
- Zip : 29615-6300
- Fax : (864) 454-8125
- Phone : (864) 454-8120
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QG0300X | Family Doctor - Geriatric Medicine | 34100 | SC |
National Provider Identifier
| NPI | 1275715690 |
|---|---|
| Provider Name | Laurie Marie Theriot Roley |
| First Address | Greenville, SC 29601-2842 |
| Second Address | Greenville, SC 29615-6300 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 27/11/2007 |
| Last Update Date | 25/05/2021 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 341008 | (05) | SC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.