Bridge City Health, LLC
Clinic/Center in Greenville, SC. Organization (NPI-2).
NPI number1376254110
StatusActive
Last updated in NPPESDec 13, 2022
Details
- NPI
- 1376254110
- Entity type
- Organization (NPI-2)
- Legal business name
- Bridge City Health, LLC
- Organization subpart
- No
- Enumeration date
- Dec 13, 2022
- Certification date
- Dec 13, 2022
- Last updated
- Dec 13, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | – | – | Yes |
Practice location
400 Augusta St Ste 130Greenville, SC 29601-3552
Phone 864-849-7822
Mailing address
400 Augusta St Ste 130Greenville, SC 29601-3552
Phone 864-849-7822
Authorized official
Andrew Baranski
Owner
4434666289
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