# MEMORIAL DRIVE MEDICAL PC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Greer Pediatric Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1922742204
- **Authorized official:** DR. JOSHUA ANDREW HALL DO (CMO)
- **Authorized official phone:** (864) 326-4648

## Contact information

- **Practice address:** 111 MEMORIAL DR, GREER, SC 29650-1518
- **Practice address phone:** (864) 326-4648
- **Mailing address:** 296 DELBOURNE LN, GREER, SC 29651-7188
- **Mailing address phone:** (864) 326-4648

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | — | NULL | Yes |
| 208000000X | Pediatrics Physician | — | — | Yes |
| 261Q00000X | Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 04/23/2022
- **Last updated:** 04/23/2022