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Organization

UPSTATE PSYCHIATRY, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BARNWELL RHETT MYERS III MD (PRESIDENT)
(864) 295-2221
Entity
Organization

Contact information

Practice address
27 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 295-2221
(864) 220-6109
Mailing address
27 MEMORIAL MEDICAL DR, GREENVILLE, SC 29605-4407
(864) 295-2221
(864) 220-6109

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GP0913
SC
Enumeration date
05/31/2006
Last updated
10/11/2007
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