Healthcare Provider Details

I. General information

NPI: 1851491633
Provider Name (Legal Business Name): PHILLIP CARNEGIE GREIG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 08/16/2023
Certification Date: 08/16/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

373 HALTON ROAD
GREENVILLE SC
29607
US

IV. Provider business mailing address

373 HALTON ROAD
GREENVILLE SC
29607
US

V. Phone/Fax

Practice location:
  • Phone: 864-331-3230
  • Fax: 864-331-3236
Mailing address:
  • Phone: 864-331-3230
  • Fax: 864-331-3236

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207VM0101X
TaxonomyMaternal & Fetal Medicine Physician
License Number18319
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: