Organization · Type 2 NPI

Prisma Health-Upstate

Multi-Specialty Clinic/Center · Seneca, SC

NPI number 1699455402 Active

Practice location

12016 N Radio Station Rd
Seneca, SC 29678-1143

Call (864) 882-6141 Map

Fax (864) 882-6680

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...

15 other providers at this address

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NPI record

NPI: 1699455402
Entity type: Organization (Type 2)
Issued: Jul 18, 2023
Last updated: Oct 11, 2023
Status: Active

Other names

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Prisma Health Family & Internal Medicine-Seneca · doing business as
Prisma Health Family & Internal Medicine-Seneca · doing business as

Authorized official

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

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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 1699455402

Prisma Health-Upstate's National Provider Identifier is 1699455402, issued on Jul 18, 2023. The primary taxonomy on file is Multi-Specialty Clinic/Center (261QM1300X), and the practice location is in Seneca, SC. The record was last updated on Oct 11, 2023.