Greene, Charles William

Greene, Charles William is an individual health care provider with primary practice located at 534 Woods Lake Rd , Greenville SC 29607-2778. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Greene, Charles William can be contacted via phone (864) 720-2739.

Contact Information

Primary practice address
534 Woods Lake Rd Greenville SC 29607-2778
Fax: (864) 720-2740
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 17998 South Carolina

Profile Details

NPI number 1215985874
LBN Legal business name Greene, Charles William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2006
Last updated Jun 18th, 2018 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215985874 NPPES
South Carolina Other 576007863131 BCBS OF SC
South Carolina Other 5296584 BCBS OF SC
South Carolina Other 576007863127 BCBS OF SC
South Carolina Other 9212323 BCBS OF SC
South Carolina MEDICAID 179988 BCBS OF SC

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