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Individual

VIRGINIA LEE GREENE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT, PT

Contact information

Practice address
1818 HENDERSON ST, COLUMBIA, SC 29201-2619
(843) 824-9251
Mailing address
8091 RIVERS AVE, NORTH CHARLESTON, SC 29406-9236

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
6496
SC
225100000X
Physical Therapist
Primary
6496
SC
225X00000X
Occupational Therapist
225XH1200X
Hand Occupational Therapist

Other

Enumeration date
08/08/2011
Last updated
11/20/2012
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