Organization
GREEN RIDGE GROUP INC
Active
Organization
GREEN RIDGE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS W NORRIS (CEO)
(803) 795-5435
Entity
Organization
Contact information
Practice address
100 FORUM DR, STE 3-255, COLUMBIA, SC 29229-7944
(803) 795-5435
Mailing address
100 FORUM DR, STE 3-255, COLUMBIA, SC 29229-7944
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
13651
SC
Other
Enumeration date
02/11/2010
Last updated
02/11/2010
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