| Genpsych Inc | |
|
2 Medical Ct Sumter SC 29150-4760 | |
| (803) 774-4020 | |
| (803) 774-4025 |
| Full Name | Genpsych Inc |
|---|---|
| Speciality | Psychiatry & Neurology - Psychiatry |
| Location | 2 Medical Ct, Sumter, South Carolina |
| Authorized Official Name and Position | Henry Odunlami (OWNER/MEDICAL DIRECTOR) |
| Authorized Official Contact | 9082310511 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Genpsych Inc 2 Medical Ct Sumter SC 29150-4760 Ph: (803) 774-4020 | Genpsych Inc 2 Medical Ct Sumter SC 29150-4760 Ph: (803) 774-4020 |
| NPI Number | 1053629287 |
|---|---|
| Provider Enumeration Date | 09/22/2010 |
| Last Update Date | 12/20/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053629287 | NPI | - | NPPES |
| 110BHS | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 25MA07291000 (New Jersey) | Secondary |
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 21075 (South Carolina) | Primary |
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