Organization
HERITAGE HEALTHCARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL THOMAS SHAW (PRESIDENT)
(864) 244-3626
Entity
Organization
Contact information
Practice address
536 OLD HOWELL ROAD, GREENVILLE, SC 29615-1969
(864) 244-3626
(864) 244-3093
Mailing address
536 OLD HOWELL ROAD, GREENVILLE, SC 29615-1969
(864) 244-3626
(864) 244-3093
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2532
—
SC
Enumeration date
02/02/2007
Last updated
09/11/2025
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