# GREENWOOD MEDICAL REHABILITATION

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

## Provider details

- **NPI number:** 1215388327
- **Authorized official:** DR. THIRSTON PHILLIPS JR. D.O. (PHYSICIAN/OWNER)
- **Authorized official phone:** (910) 495-6287

## Contact information

- **Practice address:** 100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566-8162
- **Practice address phone:** (843) 366-4000
- **Practice address fax:** (910) 222-3063
- **Mailing address:** PO BOX 31166, MYRTLE BEACH, SC 29588-0020
- **Mailing address phone:** (910) 495-6287
- **Mailing address fax:** (910) 222-3063

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 06/29/2016
- **Last updated:** 10/27/2021