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Organization
BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC
Active
Organization
BON SECOURS MEDICAL GROUP GREENVILLE PRIMARY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILBUR GAY (CFO)
(864) 561-7672
Entity
Organization
Contact information
Practice address
1 SAINT FRANCIS DR, GREENVILLE, SC 29601-3955
(864) 603-6099
Mailing address
1701 MERCY HEALTH PL, CINCINNATI, OH 45237-6147
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
207QG0300X
Geriatric Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RS0010X
Sports Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
251E00000X
Home Health Agency
—
—
261QP2300X
Primary Care Clinic/Center
—
—
Other
Enumeration date
10/15/2021
Last updated
10/15/2021
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