Organization
CHARIS PSYCHIATRY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISABELLA ADJINAH DO (OWNER)
(803) 779-7500
Entity
Organization
Contact information
Practice address
1415 BLANDING ST STE 4, COLUMBIA, SC 29201-2922
(803) 779-7500
Mailing address
1805 CLEMSON RD UNIT 290988, COLUMBIA, SC 29229-0540
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
2084P0804X
Child & Adolescent Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1567
SC LICENSE #
SC
Enumeration date
06/23/2017
Last updated
12/23/2020
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