Genpsych Of South Carolina Llc

NPI 1053629287 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1053629287
Enumeration Date 09/22/2010
Last Updated 12/20/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name HENRY HENRY
Position OWNER/MEDICAL DIRECTOR
Phone (803) 774-4020
Fax (803) 774-4025
Practice Location
2 MEDICAL CT
SUMTER SC, 29150-4760, US
Phone (803) 774-4020
Fax (803) 774-4025
Business Location
2 MEDICAL CT
SUMTER SC, 29150-4760, US
Phone (803) 774-4020
Fax (803) 774-4025
Toxanomy
Taxonomy Code 2084P0800X
License State New Jersey
License Number 25MA07291000
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According to our database, Genpsych Of South Carolina Llc NPI is 1053629287, taxonomy code is 2084P0800X and license number is 25MA07291000, license state is located at New Jersey. Genpsych Of South Carolina Llc physically located at 2 Medical Ct, Sumter SC, 29150-4760. NPI Number 1033115704 has the healthcare provider type.

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1053629287 NPI number is provided on an as is basis without warranty of any kind. 1053629287 is maintained by the National Plan & Provider Enumeration System. The contents of Genpsych Of South Carolina Llc are for informational purposes only.