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CENTERWELL SENIOR PRIMARY CARE (SC) PC NPI 1154974343


NPI Information

NPI: 1154974343
Provider Name: CENTERWELL SENIOR PRIMARY CARE (SC) PC

Former Legal Business Name: PARTNERS IN PRIMARY CARE (SC) PC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 42D2170947

Address:
1855 E MAIN ST STE 21A
SPARTANBURG, SC
ZIP 29307
Phone: (864) 913-4370
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CENTERWELL SENIOR PRIMARY CARE (SC) PC is a family medicine in Spartanburg, SC. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. CENTERWELL SENIOR PRIMARY CARE (SC) PC NPI is 1154974343. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Partners In Primary Care (sc) Pc.

The provider's business location address is:

1855 E MAIN ST STE 21A
SPARTANBURG, SC
ZIP 29307-327
Phone: (864) 913-4370
Fax: (833) 994-1103

The provider's authorized official is Erica Lache' Savage-jeter .
The authorized official title is Regional Medical Director and has the following contact phone number (864) 216-4620.

The CLIA number assigned to this NPI record is 42D2170947 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/17/2019 and was last updated on 2/23/2021.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207R00000XInternal MedicineNo
2207Q00000XFamily MedicineYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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