Great Destiny LLC
Great Destiny LLC is a Child & Adolescent Psychiatry Physician in Columbia, South Carolina. Registered with an NPI since 2022.
- In the registry since
- 2022
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
605 Alcott DrColumbia, SC 29203-4411
Phone: (803) 573-2228
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Child & Adolescent Psychiatry Physician (primary) | Taxonomy 2084P0804X |
|---|
Record details
| NPI number | 1912621251 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Tiona Praylow — Owner · (803) 394-1308 |
| NPI enumerated | September 29, 2022 |
| Last updated in NPPES | September 29, 2022 |
| Certification date | September 29, 2022 |
| Mailing address | 5 Pocosin Ct, Elgin, SC 29045-8223 |
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