Greer Pediatric Clinic Llc

LBN: Greer Pediatric Clinic Llc
Greer Pediatric Clinic Llc is an health care organization with primary practice located at 554 Memorial Drive Ext Ste C , Greer SC 29651-1155. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as the primary health care specialty. Greer Pediatric Clinic Llc can be contacted via phone (864) 879-3883, or through Hice, Sherry Ann via phone (864) 879-3883.

Contact Information

Primary practice address
554 Memorial Drive Ext Ste C Greer SC 29651-1155
Fax: (864) 848-3492
Website:
Authorized official contact:
Name: Hice, Sherry Ann

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X

Profile Details

NPI number 1619182482
LBN Legal business name Greer Pediatric Clinic Llc
DBA Doing business as
Authorized official Hice, Sherry Ann
Entity Organization
Organization subpart 1 No
Enumeration date May 14th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1619182482 NPPES
South Carolina MEDICAID GP1829

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