Organization
GREENVILLE KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANNAH COOLEY (OFFICE ADMINISTRATOR)
(864) 312-3105
Entity
Organization
Contact information
Practice address
29 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 220-1200
(864) 220-1888
Mailing address
29 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 220-1200
(864) 220-1888
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
23113
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5803
—
SC
Enumeration date
09/22/2011
Last updated
12/03/2024
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