Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Primary Care North Greenville
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
807 N MAIN ST, TRAVELERS REST, SC 29690-1551
(864) 455-9150
(864) 455-9236
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
05/01/2024
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