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Organization

GENPSYCH OF SOUTH CAROLINA, LLC

Active
Parent organization
GENPSYCH, PC
Organization subpart
Yes

Provider details

NPI number
Legal business name
GENPSYCH, PC
Authorized official
DR. HENRY ODUNLAMI M.D. (CEO)
(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

Other

Enumeration date
07/06/2011
Last updated
07/06/2011
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