Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Primary Care Fountain Inn
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (VP, PAYOR STRATEGIES & ALIGNMENT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
200 N. NELSON DRIVE, FOUNTAIN INN, SC 29644
(864) 522-6270
(864) 522-6275
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
04/02/2021
Last updated
04/22/2022
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