Healthcare Provider Details

I. General information

NPI: 1942230321
Provider Name (Legal Business Name): NORTH HILLS MEDICAL CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

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

III. Provider practice location address

3904 S HIGHWAY 14
GREENVILLE SC
29615-6138
US

IV. Provider business mailing address

3904 S HIGHWAY 14
GREENVILLE SC
29615-6138
US

V. Phone/Fax

Practice location:
  • Phone: 864-213-9254
  • Fax: 864-527-9199
Mailing address:
  • Phone: 864-213-9254
  • Fax: 864-527-9199

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number
License Number StateSC

VIII. Authorized Official

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