Organization
GREENWOOD MEDICAL REHABILITATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIRSTON PHILLIPS JR. D.O. (PHYSICIAN/OWNER)
(910) 495-6287
Entity
Organization
Contact information
Practice address
100 WATER GRANDE BLVD, LITTLE RIVER, SC 29566-8162
(843) 366-4000
(910) 222-3063
Mailing address
PO BOX 31166, MYRTLE BEACH, SC 29588-0020
(910) 495-6287
(910) 222-3063
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
Other
Enumeration date
06/29/2016
Last updated
10/27/2021
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