Organization
PRISMA HEALTH-UPSTATE
Active
Other names
PH Pediatrics-Powdersville
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
207 THREE BRIDGES RD, GREENVILLE, SC 29611-7549
(864) 220-1110
(864) 220-1104
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/02/2021
Last updated
02/24/2022
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