Organization · Type 2 NPI

Greenside Medicine LLC

Family Medicine Physician · Greenville, SC

NPI number 1639074917 Active

Practice location

10 Enterprise Blvd
Greenville, SC 29615-6301

Call (201) 202-3896 Map

Fax (469) 259-2207

Mailing address

PO Box 24121
Greenville, SC 29616-4121

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000XNone listed

Family Medicine Physician: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

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About NPI 1639074917

Greenside Medicine LLC's National Provider Identifier is 1639074917, issued on Oct 8, 2026. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Greenville, SC. The record was last updated on Oct 8, 2026.