Provider Demographics
NPI:1558671180
Name:TEGA CAY PSYCHIATRIC ASSOCIATES, PA
Entity Type:Organization
Organization Name:TEGA CAY PSYCHIATRIC ASSOCIATES, PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:GINA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:HARTMEIER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:803-524-7036
Mailing Address - Street 1:2222 GOLD HILL RD
Mailing Address - Street 2:SUITE 5
Mailing Address - City:FORT MILL
Mailing Address - State:SC
Mailing Address - Zip Code:29708-8456
Mailing Address - Country:US
Mailing Address - Phone:803-524-7036
Mailing Address - Fax:
Practice Address - Street 1:2222 GOLD HILL RD
Practice Address - Street 2:SUITE 5
Practice Address - City:FORT MILL
Practice Address - State:SC
Practice Address - Zip Code:29708-8456
Practice Address - Country:US
Practice Address - Phone:803-524-7036
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-10-17
Last Update Date:2010-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC306312084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Single Specialty