Prisma Health-Upstate
NPI #1205414828 in Fountain Inn, South Carolina
Provider Information
- NPI Number
- 1205414828
- Entity Type
- Organization
- Organization Name
- Prisma Health-Upstate
- Primary Specialty
- Clinic/Center - Rural Health
- Enumeration Date
- Apr 2, 2021
- Last Updated
- Apr 22, 2022
Practice Location
- Address
- 200 N. NELSON DRIVE
- City
- Fountain Inn
- State
- South Carolina
- ZIP Code
- 29644
- Phone
- (864) 522-6270
Authorized Official
- Name
- POLLY H. MILLER
- Title
- VP, PAYOR STRATEGIES & ALIGNMENT
- Phone
- (864) 522-2286
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Rural Health — Rural Health |
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