Organization · Type 2 NPI

Greenville Functional Medicine

Clinic/Center · Greenville, SC

NPI number 1033545595 Active

Practice location

301 Halton Rd, Suite A
Greenville, SC 29607-3496

Call (864) 558-0200 Map

Fax (864) 520-1245

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X14652 (SC)

Clinic/Center: A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

6 other providers at this address

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About NPI 1033545595

Greenville Functional Medicine's National Provider Identifier is 1033545595, issued on Sep 16, 2013. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Greenville, SC. The record was last updated on Sep 16, 2013.