Organization
GENPSYCH OF SOUTH CAROLINA LLC
Active
Parent organization
GENPSYCH INC
Other names
GenPsych Inc
Organization subpart
Yes
Provider details
NPI number
Legal business name
GENPSYCH INC
Authorized official
DR. HENRY ODUNLAMI (OWNER/MEDICAL DIRECTOR)
(908) 231-0511
Entity
Organization
Contact information
Practice address
2 MEDICAL CT, SUMTER, SC 29150-4760
(803) 774-4020
(803) 774-4025
Mailing address
2 MEDICAL CT, SUMTER, SC 29150-4760
(803) 774-4020
(803) 774-4025
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
21075
SC
2084P0800X
Psychiatry Physician
25MA07291000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110BHS
—
SC
Enumeration date
09/22/2010
Last updated
12/20/2010
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