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Contact Information

GREENWOOD SURGICAL ASSOC.
160 ACADEMY AVE
GREENWOOD, SC29646-3808
 Phone: 864-223-8090
 Fax: 864-223-4026
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for GREENWOOD SURGICAL ASSOC · (Female)

NPI Number 1154437515
Status Active
Credentials
Entity Individual
Enumeration date 08/21/2006
Last updated 04/03/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • SC Medicaid PA7037
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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