Organization Active NPI

Complete Wellness Medical Center of Greenwood

  • Clinic/Center
  • Greenwood, SC
National Provider Identifier
1790851632
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
License
864 Issued in SC
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, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.