# GREENWOOD GENETICS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043431851
- **Authorized official:** PAUL PRIDMORE (COO)
- **Authorized official phone:** (864) 941-8100

## Contact information

- **Practice address:** 805 PAMPLICO HWY, FLORENCE, SC 29505-6047
- **Practice address phone:** (843) 664-2983
- **Practice address fax:** (843) 468-2099
- **Mailing address:** 101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
- **Mailing address phone:** (864) 388-1072
- **Mailing address fax:** (864) 388-1052

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 170100000X | Ph.D. Medical Genetics | — | SC | — |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | NULL | Yes |
| 207SG0201X | Clinical Genetics (M.D.) Physician | — | — | Yes |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | NULL | — |
| 2080P0006X | Developmental - Behavioral Pediatrics Physician | — | — | — |

## Other

- **Enumeration date:** 05/01/2007
- **Last updated:** 07/21/2022