Organization
GREENVILLE ENDOSCOPY CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN W HICKEY (EXECUTIVE DIRECTOR)
(864) 232-7338
Entity
Organization
Contact information
Practice address
125 HALTON ROAD, SUITE 100, GREENVILLE, SC 29607
(864) 232-7338
(864) 239-6645
Mailing address
PO BOX 8555, GREENVILLE, SC 29604-8555
(864) 232-7338
(864) 239-6645
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF027
SC
261QA1903X
Ambulatory Surgical Clinic/Center
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Other
Enumeration date
10/25/2006
Last updated
02/08/2023
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