# GREENVILLE ENDOSCOPY CENTER INC

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

## Provider details

- **NPI number:** 1619051760
- **Authorized official:** JOHN W HICKEY (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (864) 232-7338

## Contact information

- **Practice address:** 125 HALTON ROAD, SUITE 100, GREENVILLE, SC 29607
- **Practice address phone:** (864) 232-7338
- **Practice address fax:** (864) 239-6645
- **Mailing address:** PO BOX 8555, GREENVILLE, SC 29604-8555
- **Mailing address phone:** (864) 232-7338
- **Mailing address fax:** (864) 239-6645

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | ASF027 | SC | Yes |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 10/25/2006
- **Last updated:** 02/08/2023