Provider Demographics
NPI:1568962223
Name:NEW LIFE MEDICAL CENTERS LLC
Entity Type:Organization
Organization Name:NEW LIFE MEDICAL CENTERS LLC
Other - Org Name:NEW LIFE MEDICAL CENTER GREENVILLE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:ELLIOT
Authorized Official - Last Name:HIRSHORN
Authorized Official - Suffix:III
Authorized Official - Credentials:
Authorized Official - Phone:864-881-4595
Mailing Address - Street 1:56 POINTE CIR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29615-3506
Mailing Address - Country:US
Mailing Address - Phone:864-999-9901
Mailing Address - Fax:864-999-9905
Practice Address - Street 1:56 POINTE CIR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615-3506
Practice Address - Country:US
Practice Address - Phone:864-999-9901
Practice Address - Fax:864-999-9905
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-19
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty