Provider Demographics
NPI:1013472398
Name:TWO RIVERS MEDICAL
Entity type:Organization
Organization Name:TWO RIVERS MEDICAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:A
Authorized Official - Last Name:GREENE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-490-9720
Mailing Address - Street 1:396 WOFFORD RD
Mailing Address - Street 2:
Mailing Address - City:GAFFNEY
Mailing Address - State:SC
Mailing Address - Zip Code:29340-5749
Mailing Address - Country:US
Mailing Address - Phone:864-490-9720
Mailing Address - Fax:864-916-1590
Practice Address - Street 1:396 WOFFORD RD
Practice Address - Street 2:
Practice Address - City:GAFFNEY
Practice Address - State:SC
Practice Address - Zip Code:29340-5749
Practice Address - Country:US
Practice Address - Phone:864-490-9720
Practice Address - Fax:864-916-1590
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-31
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies