Organization
GREER GROUP PRACTICE, LLC
Active
Other names
MOUNTAINVIEW FAMILY PRACTICE
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GINA M HILLERS (CREDENTIALING SPECIALIST)
(864) 560-4057
Entity
Organization
Contact information
Practice address
406 MEMORIAL DRIVE EXT, GREER, SC 29651-1818
(864) 877-9066
(864) 848-3291
Mailing address
PO BOX 2168, SPARTANBURG, SC 29304-2168
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA6208
RAILROAD MEDICARE GROUP #
SC
05
—
GP2793
—
SC
Enumeration date
05/26/2006
Last updated
04/20/2008
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