Provider First Line Business Practice Location Address:
SELF MEDICAL GROUP - FAMILY HEALTHCARE OF GREENWOOD
Provider Second Line Business Practice Location Address:
116 VENTURE COURT
Provider Business Practice Location Address City Name:
GREENWOOD
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29649
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
864-725-5594
Provider Business Practice Location Address Fax Number:
864-725-5598
Provider Enumeration Date:
02/06/2006