Greene, Michael Keith

Greene, Michael Keith is an individual health care provider with primary practice located at 101 E Wood St Ste 401 , Spartanburg SC 29303-3040. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Greene, Michael Keith can be contacted via phone (864) 560-6654.

Contact Information

Primary practice address
101 E Wood St Ste 401 Spartanburg SC 29303-3040
Fax: (864) 560-7353
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X TL28811 South Carolina
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 28811 South Carolina

Profile Details

NPI number 1962437632
LBN Legal business name Greene, Michael Keith
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jan 12th, 2021 - about 4 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 1962437632 NPPES
South Carolina MEDICAID 288110
South Carolina Other 7013843
South Carolina Other 20056179
South Carolina Other 576008010-013
South Carolina Other 7245906

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