| Sanjin Medical Pa | |
|
102 Commons Blvd Ste C Piedmont SC 29673-7766 | |
| (864) 220-9115 | |
| (864) 220-9513 |
| Full Name | Sanjin Medical Pa |
|---|---|
| Speciality | Psychologist - Prescribing (medical) |
| Location | 102 Commons Blvd, Piedmont, South Carolina |
| Authorized Official Name and Position | Dana Wiley (PRESIDENT) |
| Authorized Official Contact | 8642209115 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sanjin Medical Pa 3300 N Main St Ste D Pmb 171 Anderson SC 29621-4128 Ph: (864) 220-9115 | Sanjin Medical Pa 102 Commons Blvd Ste C Piedmont SC 29673-7766 Ph: (864) 220-9115 |
| NPI Number | 1144680596 |
|---|---|
| Provider Enumeration Date | 02/27/2016 |
| Last Update Date | 02/27/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144680596 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 103TP0016X | Psychologist - Prescribing (medical) | 17523 (South Carolina) | Primary |
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