GENPSYCH OF SOUTH CAROLINA, LLC
Psychiatric at Medical Ct, Sumter, SC

License number
South Carolina 21075
Category
Psychiatric
Type
Psychiatry
Owner
Name: DR. HENRY ODUNLAMI M.D.
Title: CEO
Phone: (908) 231-0511
Address
Address
2 Medical Ct, Sumter, SC 29150
National Provider ID: 1114214665
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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GENPSYCH OF SOUTH CAROLINA, LLC

2 Medical Ct, Sumter, SC 29150

Status:
Inactive
Industry:
Nonclassifiable Establishments, Specialty Outpatient Clinic
Doing business as:
Genpsych of South Carolina
Registration:
Sep 28, 2010
Phone:
(803) 774-4020 (Phone)
Business type:
Domestic
Formation place:
SOUTH CAROLINA
Chief Executive Officer, Medical Director, Owner, Principals:
Leslie M. Justice Nurse Practitioner, inactive,Ayodele A. Ogunfowora Psychiatry, inactive,Henry Odunlami Chief Executive Officer, Medical Director, Owner, Principal, inactive
Agent:
Md Dr Henry Odunlami
Categories:
Mental Health

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