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GREENWOOD GENETICS CENTER INC. NPI 1831318856


NPI Information

NPI: 1831318856
Provider Name: GREENWOOD GENETICS CENTER, INC.
Classification: Medical Genetics - 207SG0201X
Entity Type: Organization

Specialization: Clinical Genetics (M.D.)

CLIA Number: 42D2052208

Address:
14 EDGEWOOD DR
GREENVILLE, SC
ZIP 29605
Phone: (864) 250-7944
Get Directions

GREENWOOD GENETICS CENTER, INC. is a clinical genetics (m.d.) medical genetics in Greenville, SC. The provider is a clinical geneticist demonstrates competence in providing comprehensive diagnostic, management and counseling services for genetic disorders. GREENWOOD GENETICS CENTER, INC. NPI is 1831318856. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

14 EDGEWOOD DR
GREENVILLE, SC
ZIP 29605-246
Phone: (864) 250-7944
Fax: (864) 250-9582

The provider's authorized official is Paul Pridmore .
The authorized official title is Coo and has the following contact phone number (864) 941-8100.

The CLIA number assigned to this NPI record is 42D2052208 - other - jail medical unit with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/25/2007 and was last updated on 7/21/2022.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1170100000XMedical Genetics, Ph.D. Medical GeneticsSOUTH CAROLINANo
22080P0006XPediatricsDevelopmental - Behavioral PediatricsNo
3207SG0201XMedical GeneticsClinical Genetics (M.D.)Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1PA2005MEDICAIDSOUTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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