Provider Demographics
NPI:1215642046
Name:SIMPLY SOUTHERN MEDICAL CENTER - GREER, LLC
Entity type:Organization
Organization Name:SIMPLY SOUTHERN MEDICAL CENTER - GREER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MARY FRANCES
Authorized Official - Middle Name:
Authorized Official - Last Name:DUNCAN MAXEY
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:864-420-2997
Mailing Address - Street 1:PO BOX 1105
Mailing Address - Street 2:
Mailing Address - City:GREER
Mailing Address - State:SC
Mailing Address - Zip Code:29652-1105
Mailing Address - Country:US
Mailing Address - Phone:864-420-2997
Mailing Address - Fax:
Practice Address - Street 1:1001 W WADE HAMPTON BLVD
Practice Address - Street 2:
Practice Address - City:GREER
Practice Address - State:SC
Practice Address - Zip Code:29650-1239
Practice Address - Country:US
Practice Address - Phone:864-479-1442
Practice Address - Fax:864-334-7155
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-16
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service