Healthcare Provider Details

I. General information

NPI: 1801802038
Provider Name (Legal Business Name): NORTH HILLS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/31/2006
Last Update Date: 03/22/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 N MAIN ST STE C
GREENVILLE SC
29601-2019
US

IV. Provider business mailing address

800 PELHAM RD
GREENVILLE SC
29615-3300
US

V. Phone/Fax

Practice location:
  • Phone: 864-232-2734
  • Fax: 864-232-8126
Mailing address:
  • Phone: 864-234-5800
  • Fax: 864-284-0844

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number8215
License Number StateSC

VIII. Authorized Official

Name: DR. NAYAN R DESAI
Title or Position: MANAGING PARTNER
Credential: MD
Phone: 864-234-5800