Greenville Functional Medicine

Clinic / Center · Greenville, SC

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At a glance

301 Halton Rd, Greenville, SC 29607-3496

NPPES record updated Sep 16, 2013. Public records can lag behind changes at a practice.

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Insurance participation and appointment availability are not established by these public records.

Practice location

301 Halton Rd Suite A
Greenville, SC 29607-3496
Professional details: NPI, taxonomy & registry record
NPI1033545595
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Registry details

Primary taxonomy
Clinic / Center
Taxonomy code
261Q00000X
Enumeration date
Sep 16, 2013
Record updated
Sep 16, 2013
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Clinic / Center

261Q00000X · Primary

License reported: 14652 SC

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

301 Halton Rd
Suite A
Greenville, SC 29607-3496
Phone
(864) 558-0200
Fax
(864) 520-1245
Mailing address
301 HALTON RD
SUITE A
GREENVILLE, SC 296073496
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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