COMPLETE WELLNESS MEDICAL CENTER OF GREENWOOD (NPI# 1790851632) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1790851632 |
Entity Type | Organization |
Organization Name | COMPLETE WELLNESS MEDICAL CENTER OF GREENWOOD |
Practice Address |
1424e 72 By-pass Ne Greenwood SC 29649-0000 |
Mailing Address |
Po Box 984 Greenwood SC 29648-0984 |
Practice Telephone | 8642236500 |
Practice Fax Number | 8642295489 |
Mailing Telephone | 8642236500 |
Mailing Fax Number | 8642295489 |
Enumeration Date | 2006-11-24 |
Last Update Date | 2020-08-22 |
Authorized Official Name | DR. CARL LEE FRYER (OWNER) |
Authorized Official Telephone | 8642236500 |
Authorized Official Credential | DC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261Q00000X | Clinic/Center | 864 | SC | Ambulatory Health Care Facilities |
Street Address |
1424E 72 BY-PASS NE |
City | GREENWOOD |
State | SC |
Zip Code | 29649-0000 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1346895455 | Prathamkumar Rakeshkumar Patel | Pharmacist | 508 By-pass 72 Northwest, Greenwood, SC 29649 | 2019-08-06 |
1821650284 | Lindsay Kay Fuqua | Dentist | 1302 Sc-72 Business, Greenwood, SC 29649 | 2019-07-05 |
1457830291 | Stephanie Dixon | Speech-Language Pathologist | 1075 Bypass 25 Ne, Greenwood, SC 29649 | 2018-08-13 |
1891286613 | Tylan Creek Family Dentistry Greenwood | Clinic/Center | 3710 Highway 221- 72e, Greenwood, SC 29649 | 2018-05-29 |
1225549090 | Tekola Moore | Registered Nurse | 150 By-pass 225, Greenwood, SC 29649 | 2017-10-19 |
1629588520 | Adrienne Jackson | Prosthetist | 2005 Old Laurens Rd, Greenwood, SC 29649 | 2017-10-05 |
1982141115 | Debras Hair Studio LLC | Prosthetic/Orthotic Supplier | 1516 Bypass 72 Ne Ste D, Greenwood, SC 29649 | 2017-01-25 |
1225406960 | Jim Nasim | Dentist | 101 West Durst Avenue, Greenwood, SC 29649 | 2015-09-11 |
1174905806 | Social Change Initiative | Case Management | 1402 C Hwy 72 West, Greenwood, SC 29649 | 2015-06-18 |
1346661683 | Cambridge Dental of Greenwood, LLC | Clinic/Center | 1302 Sc Hwy 72 W Business, Greenwood, SC 29649 | 2014-01-03 |
Find all providers in zip 29649 |
Taxonomy Code | 261Q00000X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
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1538630546 | Fix Rx LLC | Clinic/Center | 520 N State Road 135 Ste E, Greenwood, IN 46142-1321 | 2018-12-17 |
1326424664 | Workplace Health Services, LLC | Clinic/Center | 2943 S Morgantown Rd, Greenwood, IN 46143-9102 | 2015-08-10 |
1922319672 | Leflore County Health Center | Clinic/Center | 706 Highway 82 W, Suite A, Greenwood, MS 38930-5028 | 2010-06-28 |
1487680518 | Urology of Indiana L.L.C. | Clinic/Center | 679 E County Line Rd, Greenwood, IN 46143-1049 | 2006-06-23 |
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1962001321 | Future Gems Greenville Entrepreneur Mentorship | Clinic/Center | 133 Arnold Mill Rd, Simpsonville, SC 29680-7293 | 2020-10-17 |
1932716867 | Living Well Chiropractic | Clinic/Center | 3786 Farrs Bridge Rd Ste E, Easley, SC 29640-9345 | 2020-09-24 |
1649802497 | Regenerative Health 360 LLC | Clinic/Center | 429 Roper Mountain Rd Ste 150, Greenville, SC 29615-4265 | 2020-02-10 |
1912537119 | Fairfield Medical Associates, Pa | Clinic/Center | 428 Mcnulty St Ste 3, Blythewood, SC 29016-8786 | 2020-01-16 |
1861037574 | Senior Centers of Cherokee County | Clinic/Center | 499 W Rutledge Ave, Gaffney, SC 29341-1639 | 2019-11-18 |
1093366056 | Simply Me Infusion Center LLC | Clinic/Center | 1601 N Oak St Ste 307, Myrtle Beach, SC 29577-3579 | 2019-09-21 |
1023677945 | Healogics Specialty Physicians of South Carolina, LLC | Clinic/Center | 1630 Skylyn Drive, Suite 420, Spartanburg, SC 29307 | 2019-06-13 |
1285290270 | Caresouth Carolina, Inc. | Clinic/Center | 810 Brown St Ste 1, Bishopville, SC 29010-1176 | 2019-05-15 |
1750865622 | Merge Medical Analytics | Clinic/Center | 180 Wingo Way Ste 106, Mount Pleasant, SC 29464-1810 | 2018-09-18 |
1245718444 | Rapha Wells Primary Health Care | Clinic/Center | 1013 Kincaid Bridge Rd, Winnsboro, SC 29180-7113 | 2018-07-31 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.