CLEMSON PSYCHIATRY, INC.
Managed Care Organizations at College Ave, Clemson, SC

License number
South Carolina 33500
Category
Managed Care Organizations
Type
Exclusive Provider Organization
Owner
Name: DR. MAUREEN A BURBAGE M.D.
Title: PRESIDENT
Phone: (864) 653-4112
Address
Address
398 College Ave, Clemson, SC 29631
National Provider ID: 1235410473
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLEMSON PSYCHIATRY, INCORPORATED

398 College Ave, Clemson, SC 29631

Registration:
Jul 1, 2011
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Agent:
Maureen A. Burbage

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