# GREENSIDE MEDICINE LLC

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

## Provider details

- **NPI number:** 1639074917
- **Authorized official:** JOSEPH GRANT MD (MD)
- **Authorized official phone:** (821) 202-3896

## Contact information

- **Practice address:** 10 ENTERPRISE BLVD, GREENVILLE, SC 29615-6301
- **Practice address phone:** (201) 202-3896
- **Practice address fax:** (469) 259-2207
- **Mailing address:** PO BOX 24121, GREENVILLE, SC 29616-4121
- **Mailing address phone:** (821) 202-3896
- **Mailing address fax:** (469) 259-2207

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2026
- **Last updated:** 10/08/2026