Individual
DR. DAVID LAWRENCE GREENHOUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
3209 COLONIAL DR, COLUMBIA, SC 29203-6930
(803) 434-6113
(803) 434-7231
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14930
SC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
14930
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
149306
—
SC
Enumeration date
02/23/2006
Last updated
06/02/2021
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