Provider First Line Business Practice Location Address:
PRISMA HEALTH MEDICAL GROUP PSYCHIATRY CENTER
Provider Second Line Business Practice Location Address:
1301 TAYLOR STREET SUITE 5K
Provider Business Practice Location Address City Name:
COLUMBIA
Provider Business Practice Location Address State Name:
SC
Provider Business Practice Location Address Postal Code:
29201
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
803-434-4300
Provider Business Practice Location Address Fax Number:
803-434-4351
Provider Enumeration Date:
06/26/2020