Healthcare Provider Details

I. General information

NPI: 1750311767
Provider Name (Legal Business Name): GREENVILLE PHYSCIANS IMAGING CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/04/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

103 S VENTURE DR
GREENVILLE SC
29615-3571
US

IV. Provider business mailing address

103 S VENTURE DR
GREENVILLE SC
29615-3571
US

V. Phone/Fax

Practice location:
  • Phone: 864-627-0500
  • Fax: 864-627-8655
Mailing address:
  • Phone: 864-627-0500
  • Fax: 864-627-8655

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. PETER J KAROLY
Title or Position: PRESIDENT
Credential:
Phone: 864-627-0500