Provider Demographics
NPI:1700107422
Name:HOSPITAL CONSULTANTS OF GREENWOOD
Entity Type:Organization
Organization Name:HOSPITAL CONSULTANTS OF GREENWOOD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:HOWARD
Authorized Official - Last Name:HEGLER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-374-9912
Mailing Address - Street 1:PO BOX 3107
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29648-3107
Mailing Address - Country:US
Mailing Address - Phone:864-374-9912
Mailing Address - Fax:
Practice Address - Street 1:706 WINDSOR RD
Practice Address - Street 2:
Practice Address - City:HODGES
Practice Address - State:SC
Practice Address - Zip Code:29653-9164
Practice Address - Country:US
Practice Address - Phone:864-374-9912
Practice Address - Fax:864-752-0966
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty