Healthcare Provider Details
I. General information
NPI: 1023069234
Provider Name (Legal Business Name): PARIS VIEW FAMILY PRACTICE PA
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/12/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1028 N CHURCH ST
GREENVILLE SC
29601-1639
US
IV. Provider business mailing address
1028 N CHURCH ST
GREENVILLE SC
29601-1639
US
V. Phone/Fax
- Phone: 864-271-1464
- Fax: 864-467-9119
- Phone: 864-271-1464
- Fax: 864-467-9119
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302F00000X |
| Taxonomy | Exclusive Provider Organization |
| License Number | |
| License Number State | SC |
VIII. Authorized Official
Name: DR.
CAROLYN
D
FIELDS
Title or Position: PRESIDENT / OWNER
Credential: M.D.
Phone: 864-271-1464