MEDICARE: THE GREENWOOD ENDOSCOPY CENTER INC

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
1	261QE0800X	Endoscopy Clinic/Center	ASF022	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518950716
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE GREENWOOD ENDOSCOPY CENTER INC

Provider Business Mailing Address
First Line	:	103 LINER DR
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29646-2311
Country	:	US
Telephone Number	:	864-227-3838
Fax Number	:	864-227-6116

Provider Business Practice Location Address
First Line	:	103 LINER DR
Second Line	:
City	:	GREENWOOD
State	:	SC
Zip	:	29646-2311
Country	:	US
Telephone Number	:	864-227-3838
Fax Number	:	864-227-6116

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	MS. APRIL CRISP
Credential	:
Telephone Number	:	864-227-3838

Provider Enumeration Date	:	08/24/2005
Last Update Date	:	03/18/2024

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Directions to “THE GREENWOOD ENDOSCOPY CENTER INC ” Practice Location

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