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EASTSIDE FAMILY PHYSICIANS PC NPI 1649220666


NPI Information

NPI: 1649220666
Provider Name: EASTSIDE FAMILY PHYSICIANS, PC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
1330 BOILING SPRINGS RD
SUITE 1200
SPARTANBURG, SC
ZIP 29303
Phone: (864) 591-5900
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EASTSIDE FAMILY PHYSICIANS, 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. EASTSIDE FAMILY PHYSICIANS, PC NPI is 1649220666. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1330 BOILING SPRINGS RD
SUITE 1200
SPARTANBURG, SC
ZIP 29303-244
Phone: (864) 591-5900
Fax: (864) 529-3358

The provider's authorized official is Tod Rainsford Reel .
The authorized official title is President and has the following contact phone number (864) 591-5900.

The enumeration date for this NPI number is 5/11/2006 and was last updated on 8/22/2020.


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
1207Q00000XFamily MedicineNAYes

Other Identifiers

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

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GP4281MEDICAIDSOUTH CAROLINA

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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