Healthcare Provider Details

I. General information

NPI: 1710313242
Provider Name (Legal Business Name): ACHIEVE MD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/16/2013
Last Update Date: 09/01/2025
Certification Date: 09/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 ROPER CORNERS CIR
GREENVILLE SC
29615-4889
US

IV. Provider business mailing address

20 ROPER CORNERS CIR
GREENVILLE SC
29615-4889
US

V. Phone/Fax

Practice location:
  • Phone: 864-558-0092
  • Fax:
Mailing address:
  • Phone: 864-558-0092
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State

VIII. Authorized Official

Name: DR. JEFFREY HARRIS
Title or Position: PRESIDENT
Credential: MD
Phone: 864-558-0092