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Organization
SOUTHERN PSYCHIATRIC PRACTICE
Active
Organization
SOUTHERN PSYCHIATRIC PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY T CHEN MD (OWNER)
(803) 328-8255
Entity
Organization
Contact information
Practice address
2424 INDIA HOOK RD, STE 120, ROCK HILL, SC 29732-2784
(803) 328-8255
(803) 328-8265
Mailing address
2424 INDIA HOOK RD, STE 120, ROCK HILL, SC 29732-2784
(803) 328-8255
(803) 328-8265
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
313618
—
SC
Enumeration date
11/15/2012
Last updated
11/15/2012
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