Greenville Ear Nose & Throat

LBN: Greenville Ear Nose & Throat
Greenville Ear Nose & Throat is an health care organization with primary practice located at 200 Patewood Dr Building B Suite B400, Greenville SC 29615-3593. The organization recently has only one registered license in Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery, which is considered as the primary health care specialty. Greenville Ear Nose & Throat can be contacted via phone (864) 454-4368, or through Phillips, John Gordon via phone (864) 454-4368.

Contact Information

Primary practice address
200 Patewood Dr Building B Suite B400 Greenville SC 29615-3593
Fax: (864) 454-4345
Website:
Authorized official contact:
Name: Phillips, John Gordon Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Oral and Maxillofacial Surgery 261QS0112X 15939 South Carolina

Profile Details

NPI number 1932169273
LBN Legal business name Greenville Ear Nose & Throat
DBA Doing business as
Authorized official Phillips, John Gordon Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 23rd, 2006
Last updated Dec 4th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932169273 NPPES
South Carolina Other CL5602 RAILROAD MEDICARE
South Carolina MEDICAID GP0618 RAILROAD MEDICARE

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