Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Family & Internal Medicine-Seneca
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
12016 N RADIO STATION RD, SENECA, SC 29678-1143
(864) 882-6141
(864) 882-6680
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8613
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
10/11/2023
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