Genpsych Of South Carolina, Llc | |
2 Medical Ct Sumter SC 29150-4760 | |
(803) 774-4020 | |
(803) 774-4025 |
Full Name | Genpsych Of South Carolina, Llc |
---|---|
Speciality | Psychiatry & Neurology - Psychiatry |
Location | 2 Medical Ct, Sumter, South Carolina |
Authorized Official Name and Position | Henry Odunlami (CEO) |
Authorized Official Contact | 9082310511 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Genpsych Of South Carolina, Llc 2 Medical Ct Sumter SC 29150-4760 Ph: (803) 774-4020 | Genpsych Of South Carolina, Llc 2 Medical Ct Sumter SC 29150-4760 Ph: (803) 774-4020 |
NPI Number | 1114214665 |
---|---|
Provider Enumeration Date | 07/06/2011 |
Last Update Date | 07/06/2011 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114214665 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084P0800X | Psychiatry & Neurology - Psychiatry | 21075 (South Carolina) | Primary |
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