Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Laurens Family Med-Gray Ct
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H. MILLER (VP PAYOR STRATEGIES & ALIGNMENT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
9100 HIGHWAY 14, GRAY COURT, SC 29645-4152
(864) 876-4888
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
07/14/2016
Last updated
02/05/2021
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