OrganizationActive
Behaviors a Go-Go
NPI 1972165041 · Multi-Specialty Clinic/Center · Greenville, SC
Provider details
- NPI number
- 1972165041
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Eliza Mccormick, Billing & Credentiaing Manager
Practice location
511 W Butler Rd
Greenville, SC 29607-4890
Phone: (864) 757-9918
Fax: (864) 757-9921
Mailing address
219 Gerald Dr
Simpsonville, SC 29681-4111
Registry dates
- Enumerated
- 2019-06-28
- Last updated
- 2019-06-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.