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Organization
GREENWOOD GENETICS CENTER, INC.
Active
Organization
GREENWOOD GENETICS CENTER, INC.
Active
Parent organization
GREENWOOD GENETIC CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
GREENWOOD GENETIC CENTER
Authorized official
PAUL PRIDMORE (COO)
(864) 941-8100
Entity
Organization
Contact information
Practice address
1911 THURMOND MALL, COLUMBIA, SC 29201-2375
(803) 799-5390
(803) 799-5391
Mailing address
101 GREGOR MENDEL CIR, GREENWOOD, SC 29646-2316
(864) 388-1072
(864) 388-1052
Taxonomy
Speciality
Code
Description
License number
State
170100000X
Ph.D. Medical Genetics
—
SC
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
NULL
207SG0201X
Clinical Genetics (M.D.) Physician
Primary
—
—
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
NULL
2080P0006X
Developmental - Behavioral Pediatrics Physician
—
—
Other
Enumeration date
05/01/2007
Last updated
07/21/2022
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