Organization
GREENWOOD SURGICAL ASSOC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOPE A PRUITT (PRACTICE ADMINISTRATOR)
(864) 223-8090
Entity
Organization
Contact information
Practice address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Mailing address
160 ACADEMY AVE, GREENWOOD, SC 29646-3808
(864) 223-8090
(864) 223-4026
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA7037
—
SC
Enumeration date
08/21/2006
Last updated
04/03/2015
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