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Organization
GREENWOOD FAMILY PRACTICE, INC.
Active
Organization
GREENWOOD FAMILY PRACTICE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELE GRAHAM RN (CEO)
(864) 223-6621
Entity
Organization
Contact information
Practice address
805 MONTAGUE AVE STE A, GREENWOOD, SC 29649-1464
(864) 223-6621
(864) 223-6659
Mailing address
805 MONTAGUE AVE STE A, GREENWOOD, SC 29649-1464
(864) 223-6621
(864) 223-6659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3760
—
SC
Enumeration date
09/20/2006
Last updated
11/30/2017
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