Basic Information
Provider Information
NPI: 1891104295
EntityType: 2
ReplacementNPI:  
OrganizationName: GHS PARTNERS IN HEALTH, INC.
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName: UNIVERSITY MEDICAL GROUP/OCONEE
OtherOrganizationType: 3
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1 INDEPENDENCE PT
Address2: SUITE 212
City: GREENVILLE
State: SC
PostalCode: 296154545
CountryCode: US
TelephoneNumber: 8647976044
FaxNumber: 8647976198
Practice Location
Address1: 10110 CLEMSON BLVD
Address2:  
City: SENECA
State: SC
PostalCode: 296780812
CountryCode: US
TelephoneNumber: 8644823148
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/11/2014
LastUpdateDate: 08/11/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: RIORDAN
AuthorizedOfficialFirstName: MICHAEL
AuthorizedOfficialMiddleName: C
AuthorizedOfficialTitleorPosition: PRESIDENT/CEO
AuthorizedOfficialTelephone: 8647977808
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal Medicine 
207RC0000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
207RG0300X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineGeriatric Medicine
207RN0300X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
207V00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansObstetrics & Gynecology 
207Y00000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansOtolaryngology 
208000000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansPediatrics 
208600000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansSurgery 
208800000X  N193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansUrology 
207Q00000X  Y193200000X MULTI-SPECIALTY GROUPAllopathic & Osteopathic PhysiciansFamily Medicine 

No ID Information.


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