HEALTHWORKS MED GROUP OF SOUTH CAROLINA P C NPI 1124315817

NPI Information

HEALTHWORKS MED GROUP OF SOUTH CAROLINA P C is a primary care clinic center in Greenville, SC. HEALTHWORKS MED GROUP OF SOUTH CAROLINA P C NPI is 1124315817. The provider is registered as an organization entity type.
The provider Is Doing Business As Michelin Family Health Center- Donaldson Camp.

The provider's business location address is:

525 MICHELIN RD
GREENVILLE, SC
ZIP 29605-131
Phone: (864) 458-1376
Fax: (864) 458-1382

The provider's authorized official is James Thiel .
The authorized official title is Owner and has the following contact phone number (615) 468-6548.

The CLIA number assigned to this NPI record is 42D2096963 - independent with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/1/2011 and was last updated on 5/5/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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