# GREENWOOD REGIONAL RHEUMATOLOGY CENTER PA

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

## Provider details

- **NPI number:** 1811174279
- **Authorized official:** DR. JOHN TRIMMER HICKS M.D. (PHYSICIAN/PRACTICE OWNER)
- **Authorized official phone:** (864) 953-8002

## Contact information

- **Practice address:** 917 BYPASS 225 S, GREENWOOD, SC 29646-8025
- **Practice address phone:** (864) 953-8002
- **Practice address fax:** (864) 953-9690
- **Mailing address:** PO BOX 427, GREENWOOD, SC 29648-0427
- **Mailing address phone:** (864) 953-8002
- **Mailing address fax:** (864) 953-9690

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RR0500X | Rheumatology Physician | 15159 | SC | Yes |

## Other

- **Enumeration date:** 01/29/2008
- **Last updated:** 05/06/2013