| Upstate Psychiatric Consulting Llc | |
|
301 Halton Rd Ste J Greenville SC 29607-3498 | |
| (864) 964-7600 | |
| Not Available |
| Full Name | Upstate Psychiatric Consulting Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 301 Halton Rd Ste J, Greenville, South Carolina |
| Authorized Official Name and Position | Violeta Nistor (OWNER) |
| Authorized Official Contact | 5083445806 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Upstate Psychiatric Consulting Llc 713 E Greenville St Anderson SC 29621-4838 Ph: () - | Upstate Psychiatric Consulting Llc 301 Halton Rd Ste J Greenville SC 29607-3498 Ph: (864) 964-7600 |
| NPI Number | 1205670122 |
|---|---|
| Provider Enumeration Date | 06/24/2024 |
| Last Update Date | 11/24/2024 |
| Certification Date | 11/24/2024 |
| Medicare PECOS PAC ID | 8123559895 |
|---|---|
| Medicare Enrollment ID | O20241004002546 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205670122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | (* (Not Available)) | Secondary |
| 2084P0805X | Psychiatry & Neurology - Geriatric Psychiatry | (* (Not Available)) | Primary |
| Provider Name | Violeta Nistor |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1265750277 PECOS PAC ID: 6204157654 Enrollment ID: I20150610001447 |
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