Sanjin Medical PA
Psychologist, Prescribing (Medical) in Piedmont, SC. Organization (NPI-2).
NPI number1144680596
StatusActive
Last updated in NPPESFeb 27, 2016
Details
- NPI
- 1144680596
- Entity type
- Organization (NPI-2)
- Legal business name
- Sanjin Medical PA
- Organization subpart
- No
- Enumeration date
- Feb 27, 2016
- Last updated
- Feb 27, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 103TP0016X | Psychologist, Prescribing (Medical) | 17523 | SC | Yes |
Practice location
102 Commons BlvdSte C
Piedmont, SC 29673-7766
Phone 864-220-9115 · Fax 864-220-9513
Mailing address
3300 N Main St Ste DPmb 171
Anderson, SC 29621-4128
Phone 864-220-9115 · Fax 864-220-9513
Authorized official
Dana Wiley
President
8642209115
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