Organization
FAITH & FLY PSYCHIATRIC PRACTICE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY GOLDIN (PMHNP-BC)
(803) 801-0878
Entity
Organization
Contact information
Practice address
2424 INDIA HOOK RD, ROCK HILL, SC 29732-2784
(803) 801-0878
Mailing address
3326 JACKSON CREEK RD, WINNSBORO, SC 29180-6600
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B919
PTAN
—
05
—
GP6088
—
SC
Enumeration date
03/24/2021
Last updated
03/24/2021
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