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Organization
KETAMINE SOLUTIONS, LLC
Active
Organization
KETAMINE SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOY BAILLEY (MEMBER)
(864) 527-1250
Entity
Organization
Contact information
Practice address
138 MILESTONE WAY STE A, GREENVILLE, SC 29615-6618
(864) 236-1630
Mailing address
3523 PELHAM RD STE C, GREENVILLE, SC 29615-4191
(864) 527-1250
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
—
NULL
208D00000X
General Practice Physician
—
—
261Q00000X
Clinic/Center
Primary
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
—
NULL
Other
Enumeration date
07/03/2024
Last updated
08/07/2025
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