# PRIMARY CHOICE MEDICAL, PA

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

## Provider details

- **NPI number:** 1891078606
- **Authorized official:** MR. RONALD S PHILLIPS DO (PRESIDENT)
- **Authorized official phone:** (864) 990-1825

## Contact information

- **Practice address:** 9 BUENA VISTA WAY, GREENVILLE, SC 29615-6621
- **Practice address phone:** (864) 990-1825
- **Practice address fax:** (864) 284-0856
- **Mailing address:** 9 BUENA VISTA WAY, GREENVILLE, SC 29615-6621
- **Mailing address phone:** (864) 990-1825
- **Mailing address fax:** (864) 284-0856

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 0342 | SC | Yes |

## Other

- **Enumeration date:** 09/28/2011
- **Last updated:** 04/04/2012
