| New Life Medical Center Greenville | |
|
56 Pointe Cir Greenville SC 29615-3506 | |
| (864) 999-9901 | |
| (864) 999-9905 |
| Full Name | New Life Medical Center Greenville |
|---|---|
| Speciality | Family Medicine |
| Location | 56 Pointe Cir, Greenville, South Carolina |
| Authorized Official Name and Position | Arthur Elliot Hirshorn (OWNER) |
| Authorized Official Contact | 8648814595 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| New Life Medical Center Greenville 56 Pointe Cir Greenville SC 29615-3506 Ph: (864) 999-9901 | New Life Medical Center Greenville 56 Pointe Cir Greenville SC 29615-3506 Ph: (864) 999-9901 |
| NPI Number | 1568962223 |
|---|---|
| Provider Enumeration Date | 02/19/2018 |
| Last Update Date | 07/21/2023 |
| Medicare PECOS PAC ID | 9133484264 |
|---|---|
| Medicare Enrollment ID | O20180521001172 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568962223 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Karla Ashley Hirshorn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1649407321 PECOS PAC ID: 4789871732 Enrollment ID: I20120921000565 |
| Provider Name | Matthew Wink |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1851800635 PECOS PAC ID: 4688938616 Enrollment ID: I20180427002169 |
| Provider Name | Stephanie A Rey |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508901968 PECOS PAC ID: 6608969191 Enrollment ID: I20181005001013 |
| Provider Name | Lynnette K Beyerle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194206540 PECOS PAC ID: 7012252331 Enrollment ID: I20181214000580 |
| Provider Name | Christy M South |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1659919710 PECOS PAC ID: 1052741584 Enrollment ID: I20200423001049 |
| Provider Name | Cheryl Renea Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982229670 PECOS PAC ID: 7719307180 Enrollment ID: I20201204000450 |
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