Prisma Health-Upstate
NPI #1164102927 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1164102927
- Entity Type
- Organization
- Organization Name
- Prisma Health-Upstate
- Primary Specialty
- Clinic/Center - Multi-Specialty
- Enumeration Date
- Jul 18, 2023
- Last Updated
- Oct 12, 2023
Practice Location
- Address
- 200 N NELSON DR
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644-9021
- Phone
- (864) 522-6270
Authorized Official
- Name
- POLLY H MILLER
- Title
- SVP FINANCE, ENTERPRISE CONTRACTING
- Phone
- (864) 522-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Multi-Specialty — Multi-Specialty |
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