Sanjin Medical PA

NPI #1144680596 in Piedmont, South Carolina

Provider Information

NPI Number: 1144680596
Entity Type: Organization
Organization Name: Sanjin Medical PA
Primary Specialty: Psychologist - Prescribing (Medical)
Enumeration Date: Feb 27, 2016
Last Updated: Feb 27, 2016

Practice Location

Address: 102 COMMONS BLVD
Address 2: STE C
City: Piedmont
State: South Carolina
ZIP Code: 29673-7766
Phone: (864) 220-9115

Authorized Official

Name: DANA WILEY, MD
Title: PRESIDENT
Phone: (864) 220-9115

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Psychologist - Prescribing (Medical) — Prescribing (Medical)	103TP0016X	Primary

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