# GREENWOOD GENETICS CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** GREENWOOD GENETIC CENTER
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1225259039
- **Legal business name:** GREENWOOD GENETIC CENTER
- **Authorized official:** PAUL PRIDMORE (COO)
- **Authorized official phone:** (864) 941-8100

## Contact information

- **Practice address:** 1911 THURMOND MALL, COLUMBIA, SC 29201-2375
- **Practice address phone:** (803) 799-5390
- **Practice address fax:** (803) 799-5391
- **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