IndividualActive
Theodore Eison, MD
NPI 1184773582 · Pediatric Nephrology Physician · Greenville, SC
Provider details
- NPI number
- 1184773582
- Entity type
- Individual
- Primary specialty
- Pediatric Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 42534 (TN)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
200 Patewood Dr Ste A115
Greenville, SC 29615-3547
Phone: (864) 454-5105
Fax: (864) 454-5689
Approximate (ZIP-level) locationGet directions
Mailing address
1 Independence PT Ste 212
Greenville, SC 29615-4536
Registry dates
- Enumerated
- 2007-01-09
- Last updated
- 2018-03-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.