# RISING HEALTHCARE OF GREENVILLE PLLC

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

## Provider details

- **NPI number:** 1215629019
- **Authorized official:** LARRY WILSON (OWNER)
- **Authorized official phone:** (252) 631-5353

## Contact information

- **Practice address:** 504 RED BANKS RD STE C, GREENVILLE, NC 27858-5766
- **Practice address phone:** (252) 631-5353
- **Mailing address:** 504 RED BANKS RD STE C, GREENVILLE, NC 27858-5766
- **Mailing address phone:** (252) 631-5353

## Taxonomy

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

## Other

- **Enumeration date:** 05/22/2023
- **Last updated:** 05/22/2023