Active NPI
Complete Wellness Medical Center of Greenwood
- Clinic/Center
- Greenwood, SC
National Provider Identifier
1790851632
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinic/Center
- License
- 864
- Legal business name
- COMPLETE WELLNESS MEDICAL CENTER OF GREENWOOD
- Practice address
- 1424E 72 by-Pass NE
Greenwood, SC 29649-0000 - Phone
- (864) 223-6500
- Fax
- (864) 229-5489
- NPI assigned
- Nov 24, 2006
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Carl Lee Fryer, DC
- Title
- Owner
- Phone
- (864) 223-6500
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 864 | SC | Primary |
Addresses
Primary practice location
1424E 72 by-Pass NE
Greenwood, SC 29649-0000
Mailing address
PO Box 984
Greenwood, SC 29648-0984
Phone (864) 223-6500
National Provider Directory
National Provider DirectoryLocations
1424 Bypass 72 NE
Greenwood, SC 29649
Phone (864) 223-6500
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1790851632",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 984",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296480984",
"telephone_number": "864-223-6500",
"fax_number": "864-229-5489"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1424E 72 BY-PASS NE",
"city": "GREENWOOD",
"state": "SC",
"postal_code": "296490000",
"telephone_number": "864-223-6500",
"fax_number": "864-229-5489"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPLETE WELLNESS MEDICAL CENTER OF GREENWOOD",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-24",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FRYER",
"authorized_official_first_name": "CARL",
"authorized_official_middle_name": "LEE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "864-223-6500",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "261Q00000X",
"taxonomy_group": "",
"desc": "Clinic/Center",
"state": "SC",
"license": "864",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenwood, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.