Organization
SUPERIOR HEALTHCARE PHYSICAL MEDICINE OF GREENVILLE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMY WILSON (OWNER)
(864) 404-0433
Entity
Organization
Contact information
Practice address
2520 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1178
(864) 558-8174
Mailing address
2520 WADE HAMPTON BLVD STE B, GREENVILLE, SC 29615-1178
(864) 558-8174
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
SC
Other
Enumeration date
10/05/2015
Last updated
06/17/2024
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