Organization
GREEN SPOT MEDISPA LLC
Active
Organization
GREEN SPOT MEDISPA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAISHA JERRICE GREEN FNP (OWNER/OPERATOR)
(843) 260-0529
Entity
Organization
Contact information
Practice address
910 S CASHUA DR UNIT B, FLORENCE, SC 29501-6313
(843) 905-7674
Mailing address
910 S CASHUA DR UNIT B, FLORENCE, SC 29501-6313
(843) 905-7674
Taxonomy
Speciality
Code
Description
License number
State
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
12/02/2025
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