| Prisma Health Pediatrics-seneca | |
|
109 Omni Dr Ste B Seneca SC 29672-9448 | |
| (864) 888-4222 | |
| (864) 888-0023 |
| Full Name | Prisma Health Pediatrics-seneca |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 109 Omni Dr Ste B, Seneca, South Carolina |
| Authorized Official Name and Position | Polly H Miller (SVP FINANCE, ENTERPRISE CONTRACTING) |
| Authorized Official Contact | 8645222286 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prisma Health Pediatrics-seneca 300 E Mcbee Ave Fl 4 Greenville SC 29601-2842 Ph: () - | Prisma Health Pediatrics-seneca 109 Omni Dr Ste B Seneca SC 29672-9448 Ph: (864) 888-4222 |
| NPI Number | 1215617097 |
|---|---|
| Provider Enumeration Date | 07/18/2023 |
| Last Update Date | 10/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215617097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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