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Organization
DEVINE PSYCHIATRY LLC
Active
Organization
DEVINE PSYCHIATRY LLC
Active
Other names
Columbia Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAGROS VALENTIN M.D. (PSYCHIATRIST)
(803) 779-7500
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 4-H, COLUMBIA, SC 29201-2923
(803) 779-7500
(803) 779-7522
Mailing address
1333 TAYLOR ST, SUITE 4-H, COLUMBIA, SC 29201-2923
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
23294
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232947
—
SC
01
—
AA05688038 GRP #8038
MEDICARE
SC
Enumeration date
10/10/2007
Last updated
04/20/2008
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