| NPI | 1205414828 |
|---|---|
| Doing Business As | PRISMA HEALTH PRIMARY CARE FOUNTAIN INN |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER VP, Payor Strategies & Alignment 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2022-04-22 |