Organization
GREENVILLE HEALTH CORPORATION
Active
Other names
Prisma Health Center for Prosthetics & Orthotics
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (SVP FINANCE, ENTERPRISE CONTRACTING)
(864) 522-2286
Entity
Organization
Contact information
Practice address
50 BEAR DR, GREENVILLE, SC 29605-4458
(864) 522-3880
(864) 522-3889
Mailing address
50 BEAR DR, GREENVILLE, SC 29605-4458
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0306710005
MEDICARE PTAN
SC
05
—
DE3514
—
SC
Enumeration date
09/27/2013
Last updated
07/15/2025
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