Organization
PRISMA HEALTH-MIDLANDS
Active
Parent organization
PRISMA HEALTH
Other names
PH Diabetes Self Care MGT Program
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRISMA HEALTH
Authorized official
POLLY H MILLER (SVP FINANCE/ENTERPRISE CONTRACTING)
(864) 522-2286
Entity
Organization
Contact information
Practice address
1301 TAYLOR ST STE 3Q, COLUMBIA, SC 29201-2942
(803) 296-3070
(803) 296-3040
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(803) 296-2548
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
10/17/2006
Last updated
01/14/2025
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