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Contact Information

GREEN RIDGE GROUP INC
100 FORUM DR
STE 3-255
COLUMBIA, SC29229-7944
 Phone: 803-795-5435
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatric Medicine

207QG0300X 08 Physician/Family Practice
Indicates primary specialty

NPI Profile & details for GREEN RIDGE GROUP INC

NPI Number 1720310055
LBN Legal business name GREEN RIDGE GROUP INC
Authorized official THOMAS NORRIS - (CEO)
Entity Organization
Organization subpart 1 No
Enumeration date 02/11/2010
Last updated 02/11/2010 - About 16 years ago
Identifiers
SC License # 13651
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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