Healthcare Provider Details

I. General information

NPI: 1700107422
Provider Name (Legal Business Name): HOSPITAL CONSULTANTS OF GREENWOOD
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/16/2010
Last Update Date: 08/16/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

706 WINDSOR RD
HODGES SC
29653-9164
US

IV. Provider business mailing address

PO BOX 3107
GREENWOOD SC
29648-3107
US

V. Phone/Fax

Practice location:
  • Phone: 864-374-9912
  • Fax: 864-752-0966
Mailing address:
  • Phone: 864-374-9912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JONATHAN HOWARD HEGLER
Title or Position: PARTNER
Credential: M.D.
Phone: 864-374-9912