Organization
OAK STREET HEALTH PHYSICIANS GROUP OF SOUTH CAROLINA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TERRANCE MORTON (CMO)
(704) 607-4835
Entity
Organization
Contact information
Practice address
6119 WHITE HORSE RD STE 14, GREENVILLE, SC 29611-3838
(312) 733-9730
Mailing address
PO BOX 740013, ATLANTA, GA 30374-0013
(773) 352-1515
(312) 929-0373
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
—
—
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Enumeration date
12/07/2020
Last updated
11/17/2025
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