Provider Demographics
NPI:1326085903
Name:TROUP, EARL CHRISTOPHER (MD)
Entity Type:Individual
Prefix:
First Name:EARL
Middle Name:CHRISTOPHER
Last Name:TROUP
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:EARL
Other - Middle Name:CHRISTOPHER
Other - Last Name:TROUP
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:300 E MCBEE AVE FL 4
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29601-2842
Mailing Address - Country:US
Mailing Address - Phone:864-522-8603
Mailing Address - Fax:
Practice Address - Street 1:48 CROSS PARK CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29605-4263
Practice Address - Country:US
Practice Address - Phone:864-797-7440
Practice Address - Fax:864-797-7469
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2021-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC30395207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC303950Medicaid
SCAA23537951Medicare PIN
SC303950Medicaid
GA00756588AMedicaid
NC5908069Medicaid