NPI 1235410473

Clemson Psychiatry, INC.

Organisation Exclusive Provider Organization Clemson, SC

Practice location

Address: 398 College Ave, Clemson, SC 29631-1432
Phone: (864) 653-4112
Fax: (864) 653-4129

Authorised official

Name: Maureen a Burbage
Title: President
Phone: (864) 653-4112

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 33500 (SC)

Other Exclusive Provider Organization providers in South Carolina →

Registry record

NPI: 1235410473
Entity type: Organization
NPI issued: 1 Sep 2011
Record last updated: 1 Sep 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.