Provider Demographics
NPI:1023529930
Name:HELMS, GRETA SIMS (RN)
Entity type:Individual
Prefix:MRS
First Name:GRETA
Middle Name:SIMS
Last Name:HELMS
Suffix:
Gender:F
Credentials:RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:1906 HIGHWAY 521 BYP S
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:SC
Mailing Address - Zip Code:29720-7579
Mailing Address - Country:US
Mailing Address - Phone:803-285-7456
Mailing Address - Fax:803-285-5514
Practice Address - Street 1:1906 HIGHWAY 521 BYP S
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:SC
Practice Address - Zip Code:29720-7579
Practice Address - Country:US
Practice Address - Phone:803-285-7456
Practice Address - Fax:803-285-5514
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2024-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC104012163WP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WP0808XNursing Service ProvidersRegistered NursePsychiatric/Mental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC1568476885Medicaid