Organization
SELF REGIONAL HEALTHCARE
Active
Parent organization
SELF REGIONAL HEALTHCARE
Other names
Academy Medical Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
SELF REGIONAL HEALTHCARE
Authorized official
JAMES PFEIFFER (PRESIDENT AND CEO)
(864) 725-4253
Entity
Organization
Contact information
Practice address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
Mailing address
155 ACADEMY AVE, GREENWOOD, SC 29646-3869
(864) 725-4865
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
02/20/2012
Last updated
03/14/2014
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