Greenwell, Irl Brian

Greenwell, Irl Brian is an individual health care provider with primary practice located at 2085 Henry Tecklenburg Dr , Charleston SC 29414-7710. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Greenwell, Irl Brian can be contacted via phone (843) 577-6957.

Contact Information

Primary practice address
2085 Henry Tecklenburg Dr Charleston SC 29414-7710
Phone: (843) 577-6957
Fax: (843) 577-6523
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 52275 South Carolina

Profile Details

NPI number 1043573009
LBN Legal business name Greenwell, Irl Brian
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2012
Last updated Jan 4th, 2025 - about last year

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 1043573009 NPPES
South Carolina MEDICAID 522759

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