Organization
POINSETT PSYCHIATRIC GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK B MULLEN MD (OWNER)
(864) 232-6216
Entity
Organization
Contact information
Practice address
3C CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 232-6216
Mailing address
3C CLEVELAND CT, GREENVILLE, SC 29607-2414
(864) 232-6216
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
8780
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
238743888
BLUE CROSS BLUE SHIELD
SC
Enumeration date
06/20/2007
Last updated
08/14/2008
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