Organization · Type 2 NPI

Southside Medical Center PA

Clinic/Center · Greenville, SC

NPI number 1972782019 Active

Practice location

3921 S Highway 14 Ste A
Greenville, SC 29615-6138

Call (864) 288-2006 Map

Fax (864) 288-1678

Specialties and licenses

TaxonomyCodeLicense
Clinic/Center Primary 261Q00000X21696 (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).

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About NPI 1972782019

Southside Medical Center PA's National Provider Identifier is 1972782019, issued on Oct 25, 2007. The primary taxonomy on file is Clinic/Center (261Q00000X), and the practice location is in Greenville, SC. The record was last updated on Oct 25, 2007.