Organization · Type 2 NPI

Greater Greenwood United Ministry

Adult Medicine Physician · Greenwood, SC

NPI number 1487213724 Active

Practice location

1404 Edgefield Street
Greenwood, SC 29646

Fax (864) 229-0332

Specialties and licenses

TaxonomyCodeLicense
Adult Medicine Physician Primary 207QA0505XNone listed

Adult Medicine Physician: The NUCC recommends this code not be used. Choose a more appropriate code.

About NPI 1487213724

Greater Greenwood United Ministry's National Provider Identifier is 1487213724, issued on Jun 11, 2019. The primary taxonomy on file is Adult Medicine Physician (207QA0505X), and the practice location is in Greenwood, SC. The record was last updated on Jun 11, 2019.