| Greenlife Wellness Llc | |
|
527 Mills Ave Ste 201a Greenville SC 29605-5602 | |
| (864) 603-1450 | |
| Not Available |
| Full Name | Greenlife Wellness Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 527 Mills Ave Ste 201a, Greenville, South Carolina |
| Authorized Official Name and Position | Andrew Wright (OWNER) |
| Authorized Official Contact | 8646031450 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Greenlife Wellness Llc 527 Mills Ave Ste 201a Greenville SC 29605-5602 Ph: () - | Greenlife Wellness Llc 527 Mills Ave Ste 201a Greenville SC 29605-5602 Ph: (864) 603-1450 |
| NPI Number | 1700346301 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 03/21/2019 |
| Medicare PECOS PAC ID | 4587991773 |
|---|---|
| Medicare Enrollment ID | O20190810000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700346301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
| Provider Name | Keli Marie Alber |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1104289016 PECOS PAC ID: 1153611900 Enrollment ID: I20160607000502 |
| Provider Name | Amy T Austin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1245752229 PECOS PAC ID: 1254672421 Enrollment ID: I20190416003191 |
| Provider Name | Andrew Jordan Wright |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1972896991 PECOS PAC ID: 2062699549 Enrollment ID: I20190810000056 |
| Provider Name | Caroline Elizabeth Riddick |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932751559 PECOS PAC ID: 3375875909 Enrollment ID: I20191030002969 |
| Provider Name | William D Barnes |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1619095387 PECOS PAC ID: 0941465926 Enrollment ID: I20220127000434 |
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