Healthcare Provider Details
I. General information
NPI: 1649421538
Provider Name (Legal Business Name): GHS PARTNERS IN HEALTH,INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/09/2008
Last Update Date: 10/29/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
106 PARKVIEW DR
LAURENS SC
29360-2652
US
IV. Provider business mailing address
7 INDEPENDENCE PT SUITE 140
GREENVILLE SC
29615-4566
US
V. Phone/Fax
- Phone: 864-984-0571
- Fax:
- Phone: 864-797-6044
- Fax: 864-797-6198
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MRS.
SUSAN
J
BICHEL
Title or Position: VP AND CFO
Credential:
Phone: 864-455-8978