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Organization

GREENWOOD FAMILY PRACTICE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. MICHELE GRAHAM RN (PRESIDENT)
(864) 223-6621
Entity
Organization

Contact information

Practice address
1226 SPRING ST, GREENWOOD, SC 29646-3835
(864) 223-6621
Mailing address
333 PLANTATION DR, GREENWOOD, SC 29649-8426
(864) 223-6659

Taxonomy

Speciality
Code
Description
License number
State
3336C0002X
Clinic Pharmacy
Primary
23953
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
4226824
NCPDP
SC
Enumeration date
04/27/2007
Last updated
09/03/2009
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