Organization
CAROLINA HEALTHCHOICE OF GREENVILLE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMBER COMPTON (PRACTICE MANAGER)
(803) 764-0464
Entity
Organization
Contact information
Practice address
274 COMMONWEALTH DR STE B, GREENVILLE, SC 29615-4872
(864) 478-8580
(864) 478-8520
Mailing address
1494 LAKE MURRAY BLVD FL 2, COLUMBIA, SC 29212-8697
(803) 764-0464
(803) 764-3126
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
—
208VP0014X
Interventional Pain Medicine Physician
Primary
—
—
Other
Enumeration date
11/17/2017
Last updated
12/19/2018
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