Organization
PRISMA HEALTH-UPSTATE
Active
Other names
Prisma Health Pediatrics Verdae
Organization subpart
No
Provider details
NPI number
Authorized official
POLLY MILLER (SVP FINANCE, ENTERPRISE CONTRACTING)
(864) 522-2286
Entity
Organization
Contact information
Practice address
905 VERDAE BLVD STE 102, GREENVILLE, SC 29607-4098
(864) 522-6600
(864) 522-6605
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
—
—
Other
Enumeration date
07/18/2023
Last updated
07/18/2023
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