Clinica Maternal de Greenville

Primary specialty

SpecialistTaxonomy code 174400000X

License

17267 Issued in SC

Legal business name

CLINICA MATERNAL DE GREENVILLE

Practice address

3204 White Horse Rd
Suite D
Greenville, SC 29611-5916

Phone

(864) 220-4222

NPI assigned

Oct 17, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rosalba Gomez

Title

Buisness Administrator

Phone

(678) 492-8477

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1445040000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1445040000000",
    "number": "1972974863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3204 WHITE HORSE RD",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115916",
            "telephone_number": "864-220-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3204 WHITE HORSE RD",
            "address_2": "SUITE D",
            "city": "GREENVILLE",
            "state": "SC",
            "postal_code": "296115916",
            "telephone_number": "864-220-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLINICA MATERNAL DE GREENVILLE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-10-17",
        "last_updated": "2015-10-17",
        "status": "A",
        "authorized_official_last_name": "GOMEZ",
        "authorized_official_first_name": "ROSALBA",
        "authorized_official_title_or_position": "BUISNESS ADMINISTRATOR",
        "authorized_official_telephone_number": "678-492-8477"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "SC",
            "license": "17267",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michaela McCraw Clevenger
• Emily N Clever, LISW-CP
• Sarah Clifford-Mullis, ED.S
• Lucius Moore Cline III, D.M.D.
• Marla Melana Cline, CRNA
• Shirley Nicole Clinton, MS, ATC
• Victoria Gabrielle Sisk Clouse, OTD, OTR/L
• Clover MD PA
• Clow Medical Group LLC
• Brian David Clow, M.D.

• Specialist in Greenville, SC
• Providers in Greenville, SC by specialty
• Specialist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2015; 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.