# GREENVILLE-PEDIATRICS PA

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1720102809
- **Authorized official:** DR. BRIAN HARVEY WASHBURN M.D. (PRESIDENT)
- **Authorized official phone:** (864) 458-7792

## Contact information

- **Practice address:** 37 BRENDAN WAY, GREENVILLE, SC 29615-3514
- **Practice address phone:** (864) 458-7792
- **Mailing address:** 37 BRENDAN WAY, GREENVILLE, SC 29615-3514
- **Mailing address phone:** (864) 458-7792

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 14106 | SC | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 08/22/2020