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
Phone: (864) 454-4368
Fax: (864) 454-4345
Website:
Authorized official contact:
Name: Phillips, John Gordon Doctor of Medicine (MD)
Phone: (864) 454-4368
Health care specialties
| Specialty | Code | License # | 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 18 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932169273 | NPPES |
| South Carolina | Other | CL5602 | RAILROAD MEDICARE |
| South Carolina | MEDICAID | GP0618 | RAILROAD MEDICARE |
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