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Organization
SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF GREENVILLE INC
Active
Organization
SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF GREENVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WILSON (OWNER)
(864) 404-0433
Entity
Organization
Contact information
Practice address
2520 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1178
(864) 558-8174
Mailing address
2520 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1178
(864) 558-8174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
NULL
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
SC
Other
Enumeration date
10/05/2015
Last updated
06/17/2024
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