Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Greenville Anesthesiology, PA

Organization Anesthesiology Physician · NPI 1679512651

Greenville Anesthesiology, PA is an Anesthesiology Physician in Greenville, South Carolina. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1007 Grove Rd
Greenville, SC 29605-4630
Phone: (864) 242-4602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X

Record details

NPI number1679512651
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Boukedes — Authorized Representative · (864) 242-4602
NPI enumeratedJune 6, 2006
Last updated in NPPESOctober 23, 2007
Mailing address255 W Michigan Ave, Jackson, MI 49201-2218

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