| NPI | 1336039460 |
|---|---|
| Doing Business As | PRISMA HEALTH PRIMARY CARE NORTHLAKE |
| Entity Type | Organization |
| Authorized Contact | POLLY MILLER VP Fin Enterprise Payor Contracting 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Enumeration Date | 2025-07-09 |
| Last Update Date | 2025-07-09 |