OrganizationActive
Greenville Age Management Medical Institute, LLC
NPI 1275963175 · Primary Care Clinic/Center · Greenville, SC
Provider details
- NPI number
- 1275963175
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marcela Young, Owner(864) 365-0100
- License
- 14183 (SC)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
540 Old Howell Rd
Greenville, SC 29615-1969
Phone: (864) 365-0100
Approximate (ZIP-level) locationGet directions
Mailing address
540 Old Howell Rd
Greenville, SC 29615-1969
Registry dates
- Enumerated
- 2013-11-14
- Last updated
- 2013-11-14
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.