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Organization

GREENVILLE ENDOSCOPY CENTER INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN W HICKEY (ADMINISTRATOR)
(864) 232-7338
Entity
Organization

Contact information

Practice address
317 SAINT FRANCIS DR, SUITE 150, GREENVILLE, SC 29601-3965
(864) 232-7338
(864) 232-0903
Mailing address
PO BOX 8555, GREENVILLE, SC 29604-8555
(864) 232-7338
(864) 239-6645

Taxonomy

Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
ASF027
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
410228
SC
Enumeration date
09/14/2006
Last updated
02/22/2023
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