Provider Demographics
NPI:1609485150
Name:GREENWOOD PODIATRIC MEDICAL ASSOCIATES, PA
Entity Type:Organization
Organization Name:GREENWOOD PODIATRIC MEDICAL ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:STEPHEN
Authorized Official - Last Name:ZAREMBA
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:803-292-9258
Mailing Address - Street 1:109 VENTURE CT
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29649-8558
Mailing Address - Country:US
Mailing Address - Phone:864-223-3338
Mailing Address - Fax:864-388-9855
Practice Address - Street 1:148 WATERLOO ST SW STE 4
Practice Address - Street 2:
Practice Address - City:AIKEN
Practice Address - State:SC
Practice Address - Zip Code:29801-3766
Practice Address - Country:US
Practice Address - Phone:864-223-3338
Practice Address - Fax:864-388-9855
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREENWOOD PODIATRIC MEDICAL ASSOCIATES, PA
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatristGroup - Single Specialty