Organization
GREENWOOD REGIONAL RHEUMATOLOGY CENTER PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN TRIMMER HICKS M.D. (PHYSICIAN/PRACTICE OWNER)
(864) 953-8002
Entity
Organization
Contact information
Practice address
917 BYPASS 225 S, GREENWOOD, SC 29646-8025
(864) 953-8002
(864) 953-9690
Mailing address
PO BOX 427, GREENWOOD, SC 29648-0427
(864) 953-8002
(864) 953-9690
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
15159
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D05839
UPIN
SC
05
—
GP3287
—
SC
Enumeration date
01/29/2008
Last updated
05/06/2013
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