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BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC NPI 1821679580


NPI Information

NPI: 1821679580
Provider Name: BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 42D0961290

Address:
1 SAINT FRANCIS DR
GREENVILLE, SC
ZIP 29601
Phone: (864) 603-6099
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BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC is a cardiovascular disease internal medicine in Greenville, SC. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. BON SECOURS MEDICAL GROUP GREENVILLE SPECIALTY CARE LLC NPI is 1821679580. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1 SAINT FRANCIS DR
GREENVILLE, SC
ZIP 29601-955
Phone: (864) 603-6099

The provider's authorized official is Wilbur Gay .
The authorized official title is Cfo and has the following contact phone number (864) 561-7672.

The CLIA number assigned to this NPI record is 42D0961290 - ancillary test site with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 4/15/2021 and was last updated on 4/15/2021.


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
1103T00000XPsychologistNo
2207N00000XDermatologyNo
3207RC0000XInternal MedicineCardiovascular DiseaseYes
4207RE0101XInternal MedicineEndocrinology, Diabetes & MetabolismNo
5207RG0300XInternal MedicineGeriatric MedicineNo
6207V00000XObstetrics & GynecologyNo
7207X00000XOrthopaedic SurgeryNo
8208000000XPediatricsNo
92080P0008XPediatricsNeurodevelopmental DisabilitiesNo
102080P0207XPediatricsPediatric Hematology-OncologyNo
112080P0214XPediatricsPediatric PulmonologyNo
122084N0400XPsychiatry & NeurologyNeurologyNo
132084P0800XPsychiatry & NeurologyPsychiatryNo
14208600000XSurgeryNo
15207RS0012XInternal MedicineSleep MedicineNo

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.