CAROLINA PHYSICAL MEDICINE AND NPI 1124342506

NPI Information

CAROLINA PHYSICAL MEDICINE AND is a general practice in Spartanburg, SC. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee CAROLINA PHYSICAL MEDICINE AND NPI is 1124342506. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Core Health Centers-east Spartanburg.

The provider's business location address is:

958 E MAIN ST
SUITE A
SPARTANBURG, SC
ZIP 29302-148
Phone: (864) 542-0780
Fax: (864) 542-1689

The provider's authorized official is Stephanie C Waddell .
The authorized official title is Billing Manager and has the following contact phone number (864) 469-2045.

The enumeration date for this NPI number is 3/15/2010 and was last updated on 6/16/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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