Organization
DEVINE PSYCHIATRY LLC
Active
Other names
Columbia Psychiatric Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MILAGROS VALENTIN M.D. (PSYCHIATRIST)
(803) 779-7500
Entity
Organization
Contact information
Practice address
1333 TAYLOR ST, SUITE 4-H, COLUMBIA, SC 29201-2923
(803) 779-7500
(803) 779-7522
Mailing address
1333 TAYLOR ST, SUITE 4-H, COLUMBIA, SC 29201-2923
(803) 779-7500
(803) 779-7522
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
23294
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
232947
—
SC
01
—
AA05688038 GRP #8038
MEDICARE
SC
Enumeration date
10/10/2007
Last updated
04/20/2008
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