Organization
PRISMA HEALTH AMBULATORY SURGERY CENTERS-MIDLANDS, LLC
Active
Other names
Prisma Health Plastic Surgery & Aesthetics Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY H MILLER (SVP-FIN, ENTERPRISE PAYOR CONTRACT)
(864) 522-2286
Entity
Organization
Contact information
Practice address
209 PATEWOOD DR STE 300, GREENVILLE, SC 29615-3592
(864) 522-6700
(864) 522-6705
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
12/12/2023
Last updated
11/19/2024
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