# PIEDMONT INTERNAL MEDICINE OF GREENWOOD, P.A.

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

## Provider details

- **NPI number:** 1760786230
- **Authorized official:** DR. JOHN W HOLMAN M.D. (PRESIDENT)
- **Authorized official phone:** (864) 227-1115

## Contact information

- **Practice address:** 104 LINER DR, GREENWOOD, SC 29646-2310
- **Practice address phone:** (864) 227-1115
- **Practice address fax:** (864) 227-2046
- **Mailing address:** 104 LINER DR, GREENWOOD, SC 29646-2310
- **Mailing address phone:** (864) 227-1115
- **Mailing address fax:** (864) 227-2046

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 363LA2200X | Adult Health Nurse Practitioner | F549 | SC | Yes |

## Other

- **Enumeration date:** 12/27/2010
- **Last updated:** 12/27/2010