| NPI | 1568142370 |
|---|---|
| Doing Business As | PRISMA HEALTH MOUNTAIN LAKES FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | POLLY H. MILLER SVP Finance, Enterprise Contracting 864-522-2286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-10-11 |