Greenwood Genetics Center, Inc.
LBN: Greenwood Genetics Center, Inc.
Greenwood Genetics Center, Inc. is an health care organization with primary practice located at 3520 W Montague Ave Ste 104 , North Charleston SC 29418-6083. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.), Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics. Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) is the primary health care specialty.
Greenwood Genetics Center, Inc. can be contacted via phone (843) 746-1001, or through Pridmore, Paul via phone (864) 941-8100.
Contact Information
Primary practice address
3520 W Montague Ave Ste 104
North Charleston SC 29418-6083
Phone: (843) 746-1001
Fax: (843) 846-1002
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Genetics (M.D.) | 207SG0201X | ||
| Allopathic & Osteopathic Physicians / Developmental – Behavioral Pediatrics | 2080P0006X |
Profile Details
| NPI number | 1104013663 |
|---|---|
| LBN Legal business name | Greenwood Genetics Center, Inc. |
| DBA Doing business as | |
| Authorized official | Pridmore, Paul |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Sep 28th, 2007 |
| Last updated | Feb 10th, 2022 - about 4 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 | 1104013663 | NPPES |
| South Carolina | MEDICAID | PA2005 |
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