Organization
GREENVILLE FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VICKIE ROBBINS (TEAM LEADER)
(864) 558-0200
Entity
Organization
Contact information
Practice address
301 HALTON RD, SUITE A, GREENVILLE, SC 29607-3496
(864) 558-0200
(864) 520-1245
Mailing address
301 HALTON RD, SUITE A, GREENVILLE, SC 29607-3496
(864) 558-0200
(864) 520-1245
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
14652
SC
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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