Provider Demographics
NPI:1598073496
Name:WOODRUFF ROAD URGENT CARE CENTER, P.C.
Entity Type:Organization
Organization Name:WOODRUFF ROAD URGENT CARE CENTER, P.C.
Other - Org Name:AFC URGENT CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:SECRETARY
Authorized Official - Prefix:MR
Authorized Official - First Name:TIMOTHY
Authorized Official - Middle Name:BRIAN
Authorized Official - Last Name:GROVES
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-915-6507
Mailing Address - Street 1:2131 WOODRUFF ROAD
Mailing Address - Street 2:SUITE# 2100, #187
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5959
Mailing Address - Country:US
Mailing Address - Phone:864-307-8672
Mailing Address - Fax:864-307-8673
Practice Address - Street 1:5208 CALHOUN MEMORIAL HWY
Practice Address - Street 2:STE C
Practice Address - City:EASLEY
Practice Address - State:SC
Practice Address - Zip Code:29640-3864
Practice Address - Country:US
Practice Address - Phone:864-307-8672
Practice Address - Fax:864-307-8673
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-09-14
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care