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Organization

GREENVILLE HEALTH CORPORATION

Active
Other names
Prisma Health Center for Prosthetics & Orthotics
Organization subpart
No

Provider details

NPI number
Authorized official
POLLY H. MILLER (SVP FINANCE, ENTERPRISE CONTRACTING)
(864) 522-2286
Entity
Organization

Contact information

Practice address
10702A CLEMSON BLVD, SENECA, SC 29678-4528
(864) 885-0077
(864) 885-0084
Mailing address
50 BEAR DR, GREENVILLE, SC 29605-4458

Taxonomy

Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0306710004
MEDICARE PTAN
SC
05
DE3512
SC
Enumeration date
09/18/2013
Last updated
07/15/2025
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