Provider Demographics
NPI:1275998403
Name:GREENWOOD HEALTHCARE PLC
Entity Type:Organization
Organization Name:GREENWOOD HEALTHCARE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:COLEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:CARBERRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:423-648-2053
Mailing Address - Street 1:6221 SHALLOWFORD RD
Mailing Address - Street 2:STE 100
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37421-1971
Mailing Address - Country:US
Mailing Address - Phone:423-648-2053
Mailing Address - Fax:426-648-2164
Practice Address - Street 1:6221 SHALLOWFORD RD
Practice Address - Street 2:STE 100
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37421-1971
Practice Address - Country:US
Practice Address - Phone:423-648-2053
Practice Address - Fax:426-648-2164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-14
Last Update Date:2015-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerGroup - Multi-Specialty