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NPI Code Detail

MEDICARE: PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC

MEDICARE: PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QD0000XDental Clinic/Center
2261QX0100XOccupational Medicine Clinic/Center
3261QM1300XMulti-Specialty Clinic/Center

General Provider Information

NPI Number : 1144577743
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC
Provider Business Mailing Address
First Line : 5500 MARYLAND WAY
Second Line :
City : BRENTWOOD
State : TN
Zip : 37027-7048
Country : US
Telephone Number : 615-468-6548
Fax Number : 615-468-6548
Provider Business Practice Location Address
First Line : 415 BROCKMAN MCCLIMON RD
Second Line :
City : GREER
State : SC
Zip : 29651-6608
Country : US
Telephone Number : 864-989-1432
Fax Number : 864-989-1462
Authorized Official
Title or Position : PRESIDENT
Name : EDWARD WILLIAM SCHWARTZ
Credential :
Telephone Number : 844-407-7557
Provider Enumeration Date : 08/14/2012
Last Update Date : 02/02/2026

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1649325739 — MS. CATHY HAWKINS IPOCK RPH
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Directions to “PREMISE HEALTH OF SOUTH CAROLINA MEDICAL PC ” Practice Location

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