CHERRYDALE MEDICAL PRACTICE PC NPI 1073868600

NPI Information

  • NPI: 1073868600
  • Provider Name: CHERRYDALE MEDICAL PRACTICE PC
  • Classification: Clinic/Center - 261QU0200X
  • Specialization: Urgent Care
  • Entity Type: Organization
  • Doing Business As: DOCTORS EXPRESS
  • Address: 3213 N PLEASANTBURG DR
    STE E2
    GREENVILLE, SC
    ZIP 29609
  • Phone: (864) 467-2005

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NPI Details

CHERRYDALE MEDICAL PRACTICE PC is an urgent care clinic center in Greenville, SC. CHERRYDALE MEDICAL PRACTICE PC NPI is 1073868600. The provider is registered as an organization entity type.
The provider Is Doing Business As Doctors Express.

The provider's business location address is:

3213 N PLEASANTBURG DR
STE E2
GREENVILLE, SC
ZIP 29609-900
Phone: (864) 467-2005
Fax: (864) 467-2089

The provider's authorized official is Brad Childs .
The authorized official title is President and has the following contact phone number (864) 918-4600.

The enumeration date for this NPI number is 7/19/2012 and was last updated on 9/4/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

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: 11/21/2025

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