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Prisma Health-Upstate — NPI 1396291407, Greenville, SC | NPI Central

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NPI 1396291407

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Prisma Health-Upstate

NPI 1396291407 · Developmental Disabilities Clinic/Center · Greenville, SC

Provider details

NPI number: 1396291407
Entity type: Organization
Primary specialty: Developmental Disabilities Clinic/CenterAmbulatory Health Care Facilities
Organization subpart: No
Authorized official: Polly Miller, Vp Payor Strategies & Alignment(864) 522-2286

Specialties & taxonomies

Developmental Disabilities Clinic/CenterPrimary261QD1600X
Ambulatory Health Care Facilities

Practice location

29 N Academy St

Greenville, SC 29601-2629

Phone: (864) 331-1350

Approximate (ZIP-level) locationGet directions

More SC providers

Mailing address

300 E Mcbee Ave Fl 4

Greenville, SC 29601-2842

Other names (DBA / former)

Doing business as: Prisma Health Kidnetics

Registry dates

Enumerated: 2016-08-29
Last updated: 2021-02-04
Certified: 2021-02-04

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.