Organization
GREER PEDIATRIC CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHERRY ANN HICE (OFFICE MANAGER)
(864) 879-3883
Entity
Organization
Contact information
Practice address
554 MEMORIAL DRIVE EXT STE C, GREER, SC 29651-1155
(864) 879-3883
(864) 848-3492
Mailing address
554 MEMORIAL DRIVE EXT STE C, GREER, SC 29651-1155
(864) 879-3883
(864) 848-3492
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP1829
—
SC
Enumeration date
05/14/2007
Last updated
08/22/2020
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