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NETWORK GERIATRIC SERVICES PA NPI 1922045103


NPI Information

NPI: 1922045103
Provider Name: NETWORK GERIATRIC SERVICES, PA
Classification: Family Medicine - 207QG0300X
Entity Type: Organization

Specialization: Geriatric Medicine

Address:
103 S PINE ST
SPARTANBURG, SC
ZIP 29302
Phone: (864) 327-1510
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NETWORK GERIATRIC SERVICES, PA is a geriatric medicine family medicine in Spartanburg, SC. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. NETWORK GERIATRIC SERVICES, PA NPI is 1922045103. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

103 S PINE ST
SPARTANBURG, SC
ZIP 29302-972
Phone: (864) 327-1510
Fax: (864) 327-1662

The provider's authorized official is Roy Bradford Whitney .
The authorized official title is Ceo and has the following contact phone number (864) 327-1510.

The enumeration date for this NPI number is 5/31/2006 and was last updated on 12/22/2009.


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
1207QG0300XFamily MedicineGeriatric Medicine12758SOUTH CAROLINAYes

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
1GP4420MEDICAIDSOUTH CAROLINA
28452MEDICARE PINSOUTH 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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