Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Baptist Easley Hospital O/P Services, MCP
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
11404 ANDERSON RD, GREENVILLE, SC 29611
(864) 295-7520
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 455-7000
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
—
—
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
08/13/2018
Last updated
12/06/2023
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