Provider Demographics
NPI:1851491633
Name:GREIG, PHILLIP CARNEGIE (MD)
Entity Type:Individual
Prefix:DR
First Name:PHILLIP
Middle Name:CARNEGIE
Last Name:GREIG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:373 HALTON ROAD
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-331-3230
Mailing Address - Fax:864-331-3236
Practice Address - Street 1:373 HALTON ROAD
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607
Practice Address - Country:US
Practice Address - Phone:864-331-3230
Practice Address - Fax:864-331-3236
Is Sole Proprietor?:No
Enumeration Date:2006-09-22
Last Update Date:2023-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC18319207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8906243Medicaid
SCQ32941Medicaid
SCF611164746Medicare PIN
SCF61116Medicare UPIN
SCQ32941Medicaid