DR. GROVER CLEVELAND HENDERSON III


Address: 303 W Alexander Ave, Suite F, Greenwood, SC 29646-4078
Phone: 8642271144

DR. GROVER CLEVELAND HENDERSON III (NPI# 1194775999) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1194775999
Entity Type Individual
Full Name DR. GROVER CLEVELAND HENDERSON III
Credential M.D.
Practice Address 303 W Alexander Ave
Suite F
Greenwood
SC 29646-4078
Mailing Address 139 Gatewood Dr
Greenwood
SC 29646-8516
Practice Telephone 8642271144
Practice Fax Number 8649434337
Mailing Telephone 8642234477
Mailing Fax Number 8649434337
Enumeration Date 2006-05-11
Last Update Date 2010-08-17
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 174400000X Specialist 008527 SC Other Service Providers

Office Location

Street Address 303 W ALEXANDER AVE
SUITE F
City GREENWOOD
State SC
Zip Code 29646-4078

Providers in the same location

NPI Name Taxonomy Address Enumeration
1750388013 Faith Prostheitc-orthotic Services Prosthetic/Orthotic Supplier 303 W Alexander Ave, Ste I, Greenwood, SC 29646-4078 2005-07-01
1932345642 Francis Wates Adams Jr. Dentist 303 W Alexander Ave, Suite D-1, Greenwood, SC 29646-4078 2008-12-30
1487890299 Cambridge Dental Associates, LLC Dentist 303 W Alexander Ave, Suite D-1, Greenwood, SC 29646-4078 2008-12-29
1528123080 Francis W Adams Jr Dmd Pa Dentist 303 W Alexander Ave, Suite D-1, Greenwood, SC 29646-4078 2006-12-26
1235248824 Robert Joseph Hanlin Physician Assistant 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 2006-08-29
1558375212 Kenneth L Franco Thoracic Surgery (Cardiothoracic Vascular Surgery) 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 2006-07-28
1265453831 Aaron L Egbert Physician Assistant 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 2006-07-21
1639106990 Claudio Guareschi Thoracic Surgery (Cardiothoracic Vascular Surgery) 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 2006-06-26
1902843329 Francis Gregory Mappin Surgery 303 W Alexander Ave, Suite E, Greenwood, SC 29646-4078 2006-06-02
1124070974 William Thomas Mccrea Orthotist 303 W Alexander Ave, Suite H, Greenwood, SC 29646-4078 2006-05-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114535416 Supriya Lal Dietitian, Registered 303 Parkwood Rd, Greenwood, SC 29646 2020-07-22
1174158406 Mara L Schwartz Registered Nurse 1226 Spring St., Diabtes Education Department, Greenwood, SC 29646 2020-03-06
1487213724 Greater Greenwood United Ministry Family Medicine 1404 Edgefield Street, Greenwood, SC 29646 2019-06-11
1346747995 Kelli Diane Clune Nurse Practitioner 115 E Alexander Ave, Greenwood, SC 29646 2018-04-10
1184150112 Sanquinette Sanders Brownlee Nurse Practitioner 929 Phoenix Stret, Clinica Gratis, Greenwood, SC 29646 2017-05-11
1194258426 Kimberley Lovejoy Assistant Behavior Analyst 210a Birchtree, Greenwood, SC 29646 2017-04-04
1427590900 Rejuvenation Massage By Frances Clinic/Center 610 Chace Avenue, Greenwood, SC 29646 2016-11-15
1932651643 Hayley Smith Counselor 110 Court Ave W, Greenwood, SC 29646 2016-10-28
1942757927 Towanda Morton Community Health Worker 303 Suite B South Main Street, Greenwood, SC 29646 2016-09-07
1770039976 Bragan Mace Pharmacist 1376 South Main St., Greenwood, SC 29646 2016-08-28
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Taxonomy Information

Taxonomy Code 174400000X
Grouping Other Service Providers
Classification Specialist

Taxonomy Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1194354274 Center for Vascular Medicine In LLC Specialist 33 E County Line Rd Ste D, Greenwood, IN 46143-1078 2020-04-02
1114265238 Joseph A Beardsley Md Professional Corp Specialist 1777 W Stones Crossing Rd Ste 1, Greenwood, IN 46143-7899 2013-01-24
1710210653 Carolina Health Centers/piedmont Physicians for Women Specialist 102 Katie Court, Piedmont Physicians for Women, Greenwood, SC 29646-9059 2009-09-10
1518120856 Christine Adefuin Murakami Specialist 1123 Spring St, Greenwood, SC 29646-3833 2008-07-07
1124208400 Barbara R. Sturm, M.d.,p.c. Specialist 1777 W Stones Crossing Rd Ste 4, Greenwood, IN 46143-7899 2007-11-05
1275725590 Central Mississippi Radiology Specialist 1803 Strong Ave, Greenwood, MS 38930-3913 2007-08-10
1881787687 Edwin M Meek Jr. Specialist 1313 River Rd, Greenwood, MS 38930-4029 2006-10-02
1235246737 Joseph A Beardsley Specialist 1777 W Stones Crossing Rd, Ste 1, Greenwood, IN 46143-7899 2006-08-23
1871607598 Syed S Rafique Specialist 333 Highway 82 W, Greenwood, MS 38930-6538 2006-08-18
1457327066 Jason Travis Reed Specialist 203 Janeway, Greenwood, SC 29649-1539 2006-02-23
Find all providers in GREENWOOD

Competitor

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City GREENWOOD
Zip Code 29646

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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