Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Center for Pediatric Med
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (SVP FINANCE, ENTERPRISE CONTRACTING)
(864) 522-2286
Entity
Organization
Contact information
Practice address
20 MEDICAL RIDGE DR, GREENVILLE, SC 29605-4267
(864) 522-5220
(864) 522-5296
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
HTL-0936
SC
Other
Enumeration date
08/29/2016
Last updated
06/09/2022
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