Provider Demographics
NPI:1922056647
Name:GREENE, MELANIE SCHNOOR (MD)
Entity Type:Individual
Prefix:
First Name:MELANIE
Middle Name:SCHNOOR
Last Name:GREENE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:525 VERDAE BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607
Mailing Address - Country:US
Mailing Address - Phone:864-603-5600
Mailing Address - Fax:864-603-5601
Practice Address - Street 1:9 HAWTHORNE PARK CT
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29615
Practice Address - Country:US
Practice Address - Phone:864-603-5600
Practice Address - Fax:864-603-5601
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
SC18289207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC110177971OtherRR MEDICARE
SC576007863106OtherBCBS OF SC
SC576007863115OtherBLUE CHOICE OF SC
SCP00801500OtherRR MEDICARE
SC3360221OtherCIGNA
SC182894Medicaid
SC5885597OtherAETNA
SCG641377951Medicare PIN
SC576007863106OtherBCBS OF SC
SC3360221OtherCIGNA