Organization · Type 2 NPI

Prisma Health-Upstate

Multi-Specialty Clinic/Center · Walhalla, SC

NPI number 1689353906 Active

Practice location

103 Whitetail Dr
Walhalla, SC 29691-5837

Call (864) 638-3444 Map

Fax (864) 638-3445

Mailing address

300 E Mcbee Ave Fl 4
Greenville, SC 29601-2842

Specialties and licenses

Taxonomy	Code	License
Multi-Specialty Clinic/Center Primary	261QM1300X	None listed

Multi-Specialty Clinic/Center: Definition to come...

7 other providers at this address

NPI record

NPI: 1689353906
Entity type: Organization (Type 2)
Issued: Jul 13, 2023
Last updated: Oct 11, 2023
Status: Active

Other names

<unavail>
Prisma Health Family Medicine-Walhalla · doing business as
Prisma Health Family Medicine-Walhalla · doing business as

Authorized official

Polly H. Miller
SVP Finance, Enterprise Contracting
(864) 522-2286

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1689353906

Prisma Health-Upstate's National Provider Identifier is 1689353906, issued on Jul 13, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Walhalla, SC. The record was last updated on Oct 11, 2023.